Physical Therapy Occupational Therapy Speech Therapy
NPI #1922838994 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1922838994
- Entity Type
- Organization
- Organization Name
- Physical Therapy Occupational Therapy Speech Therapy
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Aug 5, 2024
- Last Updated
- Dec 3, 2025
Practice Location
- Address
- 3419 WISCONSIN AVE
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-5330
- Phone
- (601) 629-0505
Authorized Official
- Name
- CORTNEY DEARMAN
- Title
- OWNER
- Phone
- (601) 480-8025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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