COREY WHITE

JACKSON, MS
NPI1225396252
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA4900)
Enumeration Date2012-04-27
Last Update Date2012-04-27
Business Address
-- COREY WHITE PTA
1190 N STATE ST PT DEPARTMENT
JACKSON, MS 39202-2413
Phone number: 601-968-1148
Mailing Address
-- COREY WHITE PTA
1190 N STATE ST PT DEPARTMENT
JACKSON, MS 39202-2413
Phone number: 601-968-1148
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