Individual
MRS. EVA REBECCA KILLEBREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13220 ATTALA ROAD 4101, SALLIS, MS 39160-5239
(601) 416-9889
Mailing address
13220 ATTALA ROAD 4101, SALLIS, MS 39160-5239
(601) 416-9889
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1472
MS
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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