Physical Therapy Occupational Therapy Speech Therapy
Physical Therapy Occupational Therapy Speech Therapy is a Physical Therapist in Vicksburg, Mississippi. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
3419 Wisconsin AveVicksburg, MS 39180-5330
Phone: (601) 629-0505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1922838994 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cortney Dearman — Owner · (601) 480-8025 |
| NPI enumerated | August 5, 2024 |
| Last updated in NPPES | December 3, 2025 |
| Certification date | December 3, 2025 |
| Mailing address | 321 Poppyseed Ln, Raymond, MS 39154-2100 |
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Jeff Maddox, PT
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