Individual
YOLANDA GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 DESOTO AVENUE EXT, CLARKSDALE, MS 38614-2814
(662) 627-3468
Mailing address
510 13TH AVE, MERIDIAN, MS 39301-5315
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4360
MS
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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