Individual
CONNIE CORDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
HWY 82W SUITE B, GREENWOOD, MS 38930
(662) 455-5010
(662) 455-5468
Mailing address
274 WOODBURN RD, INVERNESS, MS 38753
(662) 207-6474
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0304
MS
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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