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-- MARQUIS STEVENSON --

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1124232293
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
206 MARYLAND AVE, MCCOMB, MS, 396483926
Phone
(601) 250-4815
Fax
(601) 250-6859

Specialties & Taxonomies

Physical Therapy Assistant Primary License: MS #PTA2176

All Addresses

MAILING

112 LAKES DR S

OXFORD, MS, 386559213

(601) 250-4815

LOCATION

206 MARYLAND AVE

MCCOMB, MS, 396483926

(601) 250-4815