CALEB TANNER COTHREN

SUMMIT, MS
NPI1720368111
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  4779)
Enumeration Date2011-08-17
Last Update Date2011-08-17
Business Address
-- CALEB TANNER COTHREN
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900
Mailing Address
-- CALEB TANNER COTHREN
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: