Individual
MR. JOSEPH C WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1893 S EASON BLVD, TUPELO, MS 38804-5953
(662) 840-2888
(662) 840-4245
Mailing address
PO BOX 4, TUPELO, MS 38802-0004
(662) 840-2888
(662) 840-4245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1650
MS
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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