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Individual

RICHARD ROWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
2475 LAKELAND DR STE A, JACKSON, MS 39232-9505
(601) 636-6019
(601) 661-8457
Mailing address
151 AMOS RD, VICKSBURG, MS 39183-7832
(601) 636-6019
(601) 661-8457

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTA4015
MS

Other

Enumeration date
10/25/2010
Last updated
10/25/2010
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