Organization Name: | HATTIESBURG CLINIC PA |
NPI Number: | 1407938814 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TOMMY G THORNTON (EXECUTIVE DIRECTOR) |
Mailing Address: | 7127 Hwy 98 West, Suite 40 Hattiesburg |
State: | MS US |
Postal Code: | 39402 |
Phone Number: | 6012611550 |
Fax Number: | 6012682530 |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 03/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |