JOHNNY ELLIS VANHOOSE

SUMMIT, MS
NPI1487972204
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA3528)
Enumeration Date2010-05-05
Last Update Date2010-05-05
Business Address
-- JOHNNY ELLIS VANHOOSE
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900
Mailing Address
-- JOHNNY ELLIS VANHOOSE
101 MILLS ST
BROOKHAVEN, MS 39601-2521
Phone number:
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