Individual
MADELINE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
254 DOGWOOD BLVD STE 10, FLOWOOD, MS 39232-8602
(601) 203-3032
Mailing address
712 BAY TREE DR, FLOWOOD, MS 39232-8324
(228) 861-6116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7763
MS
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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