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Individual

MRS. SANDRA K RAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1901A MISSION 66, VICKSBURG, MS 39180-3711
(601) 638-5518
Mailing address
1901A MISSION 66, VICKSBURG, MS 39180-3711

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3176
MS

Other

Enumeration date
04/18/2022
Last updated
04/18/2022
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