Individual
LISA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
600 AIR PARK RD, TUPELO, MS 38801-7022
(662) 842-2100
Mailing address
151 ACADIAN CIR, TUPELO, MS 38801-5001
(662) 419-5207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2770
MS
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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