Individual
RICHARD THOMAS ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5140 GALAXIE DR, JACKSON, MS 39206-4335
(601) 707-3285
Mailing address
5140 GALAXIE DR, JACKSON, MS 39206-4335
(601) 707-3285
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4862
MS
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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