AMANDA MIX

RIDGELAND, MS
NPI1689108201
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA4285)
Enumeration Date2017-04-20
Last Update Date2017-04-20
Business Address
AMANDA MIX
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
AMANDA MIX
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number:
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