Individual
MRS. THERESA M TOLERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
116 RIDGECREST LN, CLARKSDALE, MS 38614-2006
(662) 902-8691
Mailing address
116 RIDGECREST LN, CLARKSDALE, MS 38614-2006
(662) 902-8691
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1104
MS
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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