Individual
MRS. DOROTHY NICOLE DUCKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
309 MAGNOLIA DR, RALEIGH, MS 39153-6011
(601) 782-4244
Mailing address
142 COLD SPRINGS RD, SEMINARY, MS 39479-4145
(601) 517-3679
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5802
MS
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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