Individual
PADEN TUREAUD MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4555 35TH AVE, MERIDIAN, MS 39305-2544
(601) 490-9207
Mailing address
736 N HILLS ST, MERIDIAN, MS 39305-1923
(601) 880-6538
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7589
MS
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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