| Organization Name: | PHYSIOTHERAPY ASSOCIATES INC |
| NPI Number: | 1003903691 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAYNE FLECK POOL (CHIEF COMPLIANCE OFFICER) |
| Mailing Address: | 421 E Commerce St Hernando |
| State: | MS US |
| Postal Code: | 386322348 |
| Phone Number: | 6624492811 |
| Fax Number: | 6624492812 |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 08/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |