Organization Name: | THERAPY SOLUTIONS LLC |
NPI Number: | 1164797973 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY RAE SANTINE LANDRY (OWNER/PHYSICAL THERAPIST) |
Mailing Address: | 4063 Ginger Dr Ste C Diberville |
State: | MS US |
Postal Code: | 395403705 |
Phone Number: | 2283540093 |
Fax Number: | 2283540094 |
NPI Enumeration Date: | 03/12/2012 |
NPI Last Update Date: | 03/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |