Individual
MISS AMEE RENEE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
702 MARTIN LUTHER KING ST, MOUND BAYOU, MS 38762-9314
(662) 741-8800
Mailing address
702 MARTIN LUTHER KING ST, MOUND BAYOU, MS 38762-9314
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-7049
MS
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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