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Individual

MRS. CAROL F. LEDBETTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2800 W MAIN ST, TUPELO, MS 38801-3027
(662) 871-7734
Mailing address
106 YOSEMITE CIRCLE, TUPELO, MS 38801-4118
(662) 680-3345

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
838
MN
225100000X
Physical Therapist
Primary
PT3479
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
838
PHYSICAL THERAPIST
MN
01
PT3479
PHYSICAL THERAPIST
MS
Enumeration date
05/03/2007
Last updated
08/30/2011
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