Individual
HEATHER SURHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 BATTLEGROUND DR, IUKA, MS 38852-1311
(662) 423-2633
(662) 423-2988
Mailing address
502 BATTLEGROUND DR, IUKA, MS 38852-1311
(662) 423-2633
(662) 423-2988
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1708
MS
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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