Individual
MARY DENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
328 MALLORY LN, STARKVILLE, MS 39759-7126
(601) 513-1050
Mailing address
328 MALLORY LN, STARKVILLE, MS 39759-7126
(601) 513-1050
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5309
MS
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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