Individual
MS. JOAN H TEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
100 E LEE, CLARKSDALE, MS 38614
(662) 627-6734
(662) 627-6737
Mailing address
32 S MAIN ST, WATER VALLEY, MS 38965-2946
(662) 473-3400
(662) 473-4389
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0482
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117600
—
MS
Enumeration date
06/28/2006
Last updated
10/26/2011
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