HEATHER CROUCH

KOSCIUSKO, MS
NPI1730689647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA6347)
Enumeration Date2018-02-16
Last Update Date2018-02-16
Business Address
HEATHER CROUCH
220 HIGHWAY 12 W
KOSCIUSKO, MS 39090-3208
Phone number: 662-289-4311
Mailing Address
HEATHER CROUCH
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3909