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Individual

MS. MARY LOVE MCINNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 368-4456
Mailing address
PO BOX 466, 1007 SECOND STREET, WESSON, MS 39191-0466
(601) 362-4471
(601) 368-4456

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT0233
MS

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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