Individual
TERESA T DUCKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
805 3RD ST SW, MAGEE, MS 39111-3923
(601) 849-2734
(601) 849-2735
Mailing address
100 PIONEER WAY, MAGEE, MS 39111-5501
(601) 849-6440
(601) 849-1332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2015
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT2015
LICENSE
MS
Enumeration date
07/03/2013
Last updated
04/29/2019
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