Fortinberry Physical Therapy LLC

NPI #1891246286 in Summit, Mississippi

Provider Information

NPI Number: 1891246286
Entity Type: Organization
Organization Name: Fortinberry Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 20, 2016
Last Updated: Dec 15, 2021

Practice Location

Address: 709 ROBB STREET
City: Summit
State: Mississippi
ZIP Code: 39666
Phone: (601) 248-8019

Authorized Official

Name: DR. BRAD FORTINBERRY, DPT
Title: OWNER
Phone: (601) 248-8019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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