KENDRA ALEXIS DEBERRY

OLIVE BRANCH, MS
NPI1104847094
Former NameKENDRA ALEXIS JACKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PA2517)
Enumeration Date2006-07-23
Last Update Date2007-07-08
Business Address
Mr. KENDRA ALEXIS DEBERRY PTA
5600 GOODMAN RD STE D
OLIVE BRANCH, MS 38654-7002
Phone number: 662-895-5454
Mailing Address
Mr. KENDRA ALEXIS DEBERRY PTA
5600 GOODMAN RD STE D
OLIVE BRANCH, MS 38654-7002
Phone number: 662-895-5454
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