Individual
MR. JEREMY WESTBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
442 DELWOOD DR, COLUMBUS, MS 39702-9189
(662) 574-2409
Mailing address
442 DELWOOD DR, COLUMBUS, MS 39702
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5006
TN
225200000X
Physical Therapy Assistant
A3871
MD
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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