Individual
MS. TINA D MCNEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
108 VETERANS MEMORIAL DR, KOSCIUSKO, MS 39090-3849
(769) 777-4400
(769) 777-4401
Mailing address
105 SUMMIT GRV, BRANDON, MS 39047-7384
(601) 906-9052
(601) 906-9052
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3932
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09456735
—
MS
Enumeration date
04/10/2006
Last updated
03/21/2023
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