Individual
TAMMY L ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MPH
Contact information
Practice address
3400 LICKSKILLET RD, DIBERVILLE, MS 39540-8160
(228) 217-5089
(228) 436-1586
Mailing address
3400 LICKSKILLET RD, DIBERVILLE, MS 39540-8160
(228) 217-5089
(228) 436-1586
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3149
MS
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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