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NPI Code Detail

MEDICARE: MRS. JANET P. SLAUGHTER DPT

MEDICARE:  MRS. JANET P. SLAUGHTER  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT0183MS
22251P0200XPediatric Physical TherapistPT0183MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629367735
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANET P. SLAUGHTER DPT
Provider Business Mailing Address
First Line : PO BOX 7296
Second Line :
City : JACKSON
State : MS
Zip : 39282-7296
Country : US
Telephone Number : 601-487-6930
Fax Number : 601-487-6931
Provider Business Practice Location Address
First Line : 820 COOPER RD STE J
Second Line :
City : JACKSON
State : MS
Zip : 39212-4099
Country : US
Telephone Number : 601-487-6930
Fax Number : 601-487-6931
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2011
Last Update Date : 03/21/2014

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Directions to “ MRS. JANET P. SLAUGHTER DPT” Practice Location

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