Individual
CARRIE ADEN MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
305 N MAIN ST, WATER VALLEY, MS 38965-2505
(662) 714-4472
Mailing address
PO BOX 1016, OXFORD, MS 38655-1016
(662) 232-8949
(662) 232-8950
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1535
MS
Other
Enumeration date
03/16/2020
Last updated
03/31/2020
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