Individual
MRS. AMY WILBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PTA
Contact information
Practice address
1001 HOLLAND AVE, PHILADELPHIA, MS 39350-2161
(601) 650-6525
Mailing address
308 WILL AVE, PHILADELPHIA, MS 39350-9781
(601) 650-6525
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6246
MS
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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