Individual
MRS. MICHELE MAXEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1058 HOLLAND AVE, PHILADELPHIA, MS 39350-9121
(601) 650-9111
(601) 650-1972
Mailing address
1058 HOLLAND AVE, PHILADELPHIA, MS 39350-9121
(601) 650-9111
(601) 650-1972
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2718
MS
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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