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1609499946
JEREMY WOOTEN
VANCLEAVE, MS
NPI
1609499946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT7232)
Enumeration Date
2020-05-21
Last Update Date
2024-04-22
Business Address
Dr. JEREMY WOOTEN PT, DPT
6300 E LAKE BLVD STE 101
VANCLEAVE, MS 39565-6771
Phone number: 228-215-2240
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Mailing Address
Dr. JEREMY WOOTEN PT, DPT
42465 HIGHWAY 195
HALEYVILLE, AL 35565-7052
Phone number: 256-350-1764
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