| Organization Name: | PHYSIOTHERAPY ASSOCIATES INC |
| NPI Number: | 1235254517 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL E TARVIN (VICE PRESIDENT AND SECRETARY) |
| Mailing Address: | 104 W Railroad Ave N Crystal Springs |
| State: | MS US |
| Postal Code: | 390592154 |
| Phone Number: | 6018928707 |
| Fax Number: | 6018927614 |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 04/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |