Individual
MS. FANNIE RUTH COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
911 RUTHERFORD DR, JACKSON, MS 39206
(601) 366-1837
Mailing address
911 RUTHERFORD DR, JACKSON, MS 39206
(601) 366-1837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0332
MS
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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