Gptrs II

NPI #1861967010 in Byram, Mississippi

Provider Information

NPI Number: 1861967010
Entity Type: Organization
Organization Name: Gptrs II
Primary Specialty: Physical Therapist
Enumeration Date: Oct 3, 2018
Last Updated: Oct 3, 2018

Practice Location

Address: 128 BYRAM BUSINESS CENTER DR
City: Byram
State: Mississippi
ZIP Code: 39272-9636
Phone: (601) 502-1194

Authorized Official

Name: GREGORY H TRUSSELL
Title: DIRECTOR
Phone: (601) 898-4324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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