Wayne P Jimenez PT

NPI 1003900697 - Physical Therapist - 225100000X

NPI Details
NPI 1003900697
Gender Male
Enumeration Date 10/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1054 GREYMONT AVE
JACKSON MS, 39202, US
Phone (601) 355-9624
Fax (601) 353-6151
Business Location
1054 GREYMONT AVE
JACKSON MS, 39202, US
Phone (601) 355-9624
Fax (601) 353-6151
Toxanomy
Taxonomy Code 225100000X
License State Mississippi
License Number PT0331
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According to our database, Wayne P Jimenez PT NPI is 1003900697, taxonomy code is 225100000X and license number is PT0331, license state is located at Mississippi. Wayne P Jimenez PT physically located at 1054 Greymont Ave, Jackson MS, 39202. NPI Number Wayne P Jimenez PT has the Individual type.

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1003900697 NPI number is provided on an as is basis without warranty of any kind. 1003900697 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne P Jimenez PT are for informational purposes only.