Organization Name: | J.C. PASSMAN MDPA |
NPI Number: | 1083643761 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT BRIAN HAIMSON (PRESIDENT) |
Mailing Address: | 46 Sgt Prentiss Dr Suite 103 Natchez |
State: | MS US |
Postal Code: | 391204792 |
Phone Number: | 6014429654 |
Fax Number: | 6014429790 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 09/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT0333 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |