PEYTON FANDEL

COLUMBUS, MS
NPI1407235542
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT5537)
Enumeration Date2015-05-21
Last Update Date2015-05-21
Business Address
-- PEYTON FANDEL DPT
670 LEIGH DR
COLUMBUS, MS 39705-3014
Phone number: 662-328-1012
Mailing Address
-- PEYTON FANDEL DPT
105 N PRIMROSE LN
STARKVILLE, MS 39759-4335
Phone number:
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