TONY CHANNELL

SUMMIT, MS
NPI1902114309
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AL  PTA1200)
Enumeration Date2010-09-20
Last Update Date2010-09-20
Business Address
-- TONY CHANNELL
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 205-375-2465
Mailing Address
-- TONY CHANNELL
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: