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General NPI Number Information
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NPI Number | 1861208761
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Entity Type | Organization
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Legal Business Name | JWM THERAPY SERVICES
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 1321 SUNSET DR STE K
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City | GRENADA
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State | MS
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Zip | 38901-4006
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Country | US
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Telephone | 662-699-0403
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Fax |
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Provider Business Mailing Address
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Address Line | 168 TURKEY TRAK
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City | BATESVILLE
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State | MS
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Zip | 38606-7684
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Country | US
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Telephone | 601-278-2919
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ MANAGER
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Name | DR. MARGARET YOUNG KING
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Credential | DPT
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Telephone | 601-278-2919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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License Number |
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License Number State |
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