Southern Physical Therapy, LLC

NPI #1023383569 in Hattiesburg, Mississippi

Provider Information

NPI Number: 1023383569
Entity Type: Organization
Organization Name: Southern Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 16, 2012
Last Updated: Feb 27, 2015

Practice Location

Address: 7 WILLOW BEND DR
City: Hattiesburg
State: Mississippi
ZIP Code: 39402-8552
Phone: (601) 336-8287

Authorized Official

Name: DR. JANICE T. TREGRE, DPT
Title: OWNER
Phone: (601) 336-8287

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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