Customized Physical Therapy

LBN: Customized Physical Therapy
Customized Physical Therapy is an health care organization with primary practice located at 103 Fox Chase Dr , Hattiesburg MS 39402-2575. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Customized Physical Therapy can be contacted via phone (601) 408-8700, or through Rimes, Pamela M via phone (601) 408-8700.

Contact Information

Primary practice address
103 Fox Chase Dr Hattiesburg MS 39402-2575
Phone: (601) 408-8700
Fax: (601) 264-2285
Website:
Map and Directions
Authorized official contact:
Name: Rimes, Pamela M Physical Therapist (PT)
Phone: (601) 408-8700

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT 1137 Mississippi

Profile Details

NPI number 1851448708
LBN Legal business name Customized Physical Therapy
DBA Doing business as
Authorized official Rimes, Pamela M Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851448708 NPPES
Mississippi Other PT 1137 PHYSICAL THERAPY

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