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Individual

JESSICA BASKERVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, ATP

Contact information

Practice address
140 BURKE CALHOUN CITY RD, CALHOUN CITY, MS 38916-9690
(662) 234-8559
Mailing address
211 SPRING LAKE CV, OXFORD, MS 38655-9239
(662) 202-4468

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4802
MS

Other

Enumeration date
10/17/2019
Last updated
10/17/2019
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