Footprints Pediatric Therapy, Pllc

Specialty details in registry · Hattiesburg, MS

Call (864) 293-3281 Directions

At a glance

135 Pinehills Dr, Hattiesburg, MS 39402-3317

NPPES record updated Sep 6, 2016. Public records can lag behind changes at a practice.

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Practice location

135 Pinehills Dr
Hattiesburg, MS 39402-3317
Professional details: NPI, taxonomy & registry record
NPI1245786797
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
2251P0200X
Enumeration date
Aug 25, 2016
Record updated
Sep 6, 2016
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

2251P0200X · Primary

License reported: PT6066 MS

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

135 Pinehills Dr
Hattiesburg, MS 39402-3317
Phone
(864) 293-3281
Mailing address
135 PINEHILLS DR

HATTIESBURG, MS 394023317
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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