Individual
ALTRECE AFONDRE ARNOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7620 OLD CANTON RD, MADISON, MS 39110-8968
(601) 213-8194
Mailing address
7620 OLD CANTON RD, MADISON, MS 39110-8968
(601) 213-8194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1101
MS
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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