LISA T INDEST

JACKSON, MS
NPI1477728905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT3315)
Enumeration Date2008-04-25
Last Update Date2008-04-25
Business Address
-- LISA T INDEST PT
1350 E WOODROW WILSON AVE
JACKSON, MS 39216-5112
Phone number: 601-981-2611
Mailing Address
-- LISA T INDEST PT
1350 E WOODROW WILSON AVE
JACKSON, MS 39216-5112
Phone number: 601-981-2611
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