KELLY WINDHAM

SUMMIT, MS
NPI1063766798
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  4216)
Enumeration Date2012-11-02
Last Update Date2012-11-02
Business Address
-- KELLY WINDHAM
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-764-2101
Mailing Address
-- KELLY WINDHAM
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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