SAM-ATH SAO MCDANIEL

RIDGELAND, MS
NPI1265631212
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA4222)
Enumeration Date2007-07-11
Last Update Date2007-07-11
Business Address
-- SAM-ATH SAO MCDANIEL PTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
-- SAM-ATH SAO MCDANIEL PTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777