Individual
MISS KATHLEEN FRANCES MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1101 HWY 11 SOUTH, ELLISVILLE, MS 39437
(601) 477-9384
(601) 477-5700
Mailing address
1101 HWY 11 SOUTH, ELLISVILLE, MS 39437
(601) 477-9384
(601) 477-5700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 1187
MS
225100000X
Physical Therapist
Primary
PT1187
MS
Other
Enumeration date
09/20/2006
Last updated
07/24/2009
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