Drayer Physcial Therapy Mississippi LLC

NPI #1033523634 in Petal, Mississippi

Provider Information

NPI Number: 1033523634
Entity Type: Organization
Organization Name: Drayer Physcial Therapy Mississippi LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jun 12, 2014
Last Updated: Jun 12, 2014

Practice Location

Address: 1229 HIGHWAY 42
Address 2: SUITE 260
City: Petal
State: Mississippi
ZIP Code: 39465-2733
Phone: (601) 909-2925

Authorized Official

Name: LUKE A DRAYER
Title: CHAIRMAN AND CEO
Phone: (717) 220-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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