JOANNA DAWN WILBORN

RIDGELAND, MS
NPI1245457639
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA3066)
Enumeration Date2007-04-19
Last Update Date2007-07-08
Business Address
-- JOANNA DAWN WILBORN PTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
-- JOANNA DAWN WILBORN PTA
21 W PENNINGTON LOOP
PURVIS, MS 39475-3115
Phone number: 601-606-5441
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