Individual
JESSICA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 VETERANS DR, OXFORD, MS 38655-3578
(662) 234-9898
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4188
MS
Other
Enumeration date
06/26/2013
Last updated
10/21/2019
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