Individual
CALLIE ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1211 S GLOSTER ST STE C, TUPELO, MS 38801-6535
(662) 432-1523
(662) 432-1528
Mailing address
199 N BROOKMOORE DR, COLUMBUS, MS 39705-2024
(717) 839-2188
(717) 565-1104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5714
MS
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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