Individual
HANNA LE TIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
307 MESQUAKI DR, RIDGELAND, MS 39157-9778
(601) 291-3803
Mailing address
307 MESQUAKI DR, RIDGELAND, MS 39157-9778
(601) 291-3803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13641
CO
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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