Individual
MR. OZZIE J TUMBLIN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2194 HIGHWAY 8 E, 2194 HWY 8 EAST, HOUSTON, MS 38851-8304
(662) 542-5973
Mailing address
2194 HIGHWAY 8 E, 2194 HWY 8 EAST, HOUSTON, MS 38851-8304
(662) 542-5973
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5059
MS
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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