Individual
MRS. MARY AMANDA WEILENMAN SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 E CENTER ST, CANTON, MS 39046-3733
(601) 717-0910
(601) 667-3203
Mailing address
110 E CENTER ST, CANTON, MS 39046-3733
(601) 717-0910
(601) 667-3203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3632
MS
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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