V a North

NPI #1548322951 in Tougaloo, Mississippi

Provider Information

NPI Number: 1548322951
Entity Type: Organization
Organization Name: V a North
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 14, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 500 W COUNTY LINE RD
City: Tougaloo
State: Mississippi
ZIP Code: 39174-9700
Phone: (601) 636-6019

Authorized Official

Name: MR. TERRENCE D NICKENS, PT
Title: OWNER
Phone: (601) 636-6019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X	Primary

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