Individual
AUTUMN LEIGH STEGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
201A HIGHWAY 51, RIDGELAND, MS 39157-4425
(601) 898-4324
(601) 898-4325
Mailing address
201A HIGHWAY 51, RIDGELAND, MS 39157-4425
(601) 898-4324
(601) 898-4325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3765
MS
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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