Organization Name: | PHYSICAL THERAPY PROFESSIONALS |
NPI Number: | 1265746309 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLAUDIE LEON TINGLE (PARTNER/PHYSICAL THERAPIST) |
Mailing Address: | 2900 Melton Ave Pascagoula |
State: | MS US |
Postal Code: | 395814120 |
Phone Number: | 2286969946 |
Fax Number: | 2286969917 |
NPI Enumeration Date: | 07/30/2010 |
NPI Last Update Date: | 07/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251S0007X |
License Number: | PT3068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Sports |
Taxonomy Definition: |