Individual
MS. AMY DIANE MCCAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.T.A.
Contact information
Practice address
501 S LOCUST ST, MCCOMB, MS 39648-4336
(601) 684-8111
Mailing address
501 S LOCUST ST, MCCOMB, MS 39648-4336
(601) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA1419
MS
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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