Individual
MRS. CHARLEE WEDGEWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
174 CLIFF MITCHELL RD, PICAYUNE, MS 39466-7982
(601) 798-5666
Mailing address
7247 LIVE OAK WAY, PASS CHRISTIAN, MS 39571-8024
(228) 452-3245
(228) 452-3245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3478
MS
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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