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Individual

AMBER MIXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
500 C C RD, BELZONI, MS 39038-3806
(662) 247-1821
Mailing address
28 ROSEBUD LN, COLUMBIA, MS 39429-9380
(601) 736-7938

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3016
MS

Other

Enumeration date
02/24/2010
Last updated
02/24/2010
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