Individual
NATALIE NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4215 LAKELAND DR, FLOWOOD, MS 39232-9212
(601) 932-8555
(601) 932-8551
Mailing address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5355
MS
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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