Individual
MRS. AMANDA CANIZARO DEARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
104 BURNEY DR, FLOWOOD, MS 39232-6621
(601) 987-8200
(601) 987-8211
Mailing address
175 NUTMEG RD, CANTON, MS 39046-2203
(601) 672-8039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3207
MS
Other
Enumeration date
07/26/2007
Last updated
08/13/2020
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