Individual
LEIANNE M TINDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
627 MIDDLETON RD, WINONA, MS 38967-2000
(662) 283-1260
Mailing address
627 MIDDLETON RD, WINONA, MS 38967-2000
(662) 283-1260
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6348
MS
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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