Individual
MARLEY MCCARDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 BAY AVE, RICHTON, MS 39476-2941
(601) 788-2228
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5866
MS
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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