Organization Name: | JACKSON HAND AND UPPER EXTREMITY |
NPI Number: | 1154753986 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBYN ROBERTS (OWNER) |
Mailing Address: | 1904 Lakeland Dr Suite D Jackson |
State: | MS US |
Postal Code: | 392165038 |
Phone Number: | 6019422709 |
Fax Number: | 6019449780 |
NPI Enumeration Date: | 08/02/2013 |
NPI Last Update Date: | 07/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT0987 |
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 |