Individual
MACEY LEE HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
117 BO BO DR, CRYSTAL SPRINGS, MS 39059-2741
(601) 892-6330
(601) 892-6331
Mailing address
302 CRIMSON CROWNE, FLOWOOD, MS 39232-5002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6902
MS
Other
Enumeration date
08/19/2020
Last updated
01/04/2022
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