Individual
JODIE ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
401 SOUTHCREST CIR, SOUTHAVEN, MS 38671-6726
(662) 349-1546
Mailing address
401 SOUTHCREST CIR, SOUTHAVEN, MS 38671-6726
(662) 349-1546
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
4220
MS
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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