Individual
MEREDITH BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 FOX CHASE DR, HATTIESBURG, MS 39402-2575
(601) 366-1081
Mailing address
599C STEED RD, RIDGELAND, MS 39157-1707
(601) 605-6777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7317
MS
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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