DEREK WADE PUCKETT

FLORENCE, MS
NPI1851484422
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT1702)
Enumeration Date2006-10-02
Last Update Date2011-03-23
Business Address
Mr. DEREK WADE PUCKETT RPT
3000 HWY 49 SOUTH
FLORENCE, MS 39073
Phone number: 601-845-8282
Mailing Address
Mr. DEREK WADE PUCKETT RPT
3000 HWY 49 SOUTH
FLORENCE, MS 39073
Phone number: 601-845-8282
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