Individual
PRAVEEN K RAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 MARYLAND AVE, MCCOMB, MS 39648-3926
(601) 276-3900
Mailing address
551 O AVE LINMOOR ESTATES, MERIDIAN, MS 39305
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3719
MS
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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