KELLY RAE SANTINE LANDRY

DIBERVILLE, MS
NPI1396868568
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  pt2207)
Enumeration Date2007-04-10
Last Update Date2012-03-12
Business Address
Mrs. KELLY RAE SANTINE LANDRY mpt
4063 GINGER DR SUITE C
DIBERVILLE, MS 39540-3705
Phone number: 228-354-0093
Mailing Address
Mrs. KELLY RAE SANTINE LANDRY mpt
4063 GINGER DR SUITE C
DIBERVILLE, MS 39540-3705
Phone number: 228-354-0093