Individual
MRS. AUDREY MEGAN TEEL-STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
175 WHALEY DR STE B&C, HOLLY SPRINGS, MS 38635-3253
(662) 252-3780
Mailing address
175 WHALEY DR STE B&C, HOLLY SPRINGS, MS 38635-3253
(662) 252-3780
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
PT3804
MS
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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