KENNETH JAY RICHE

RIDGELAND, MS
NPI1821117854
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA2491)
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
KENNETH JAY RICHE PTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
KENNETH JAY RICHE PTA
136 CALEDONIAN BLVD
BRANDON, MS 39047-8143
Phone number: 601-573-9974
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