Individual
MINDY KAYE CREDEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1810 W CERVANTES ST, PENSACOLA, FL 32501-0001
(662) 714-3122
(850) 782-0058
Mailing address
PO BOX 56, WATER VALLEY, MS 38965-0056
(662) 714-3122
(662) 714-3124
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA8645
AL
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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