Individual
TOMMIE J WILLIAMSON SHAPPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48 PLEASANT POND LOOP, HATTIESBURG, MS 39402-8253
(601) 408-9546
Mailing address
48 PLEASANT POND LOOP, HATTIESBURG, MS 39402-8253
(601) 408-9546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT1986
MS
2251P0200X
Pediatric Physical Therapist
Primary
PT1986
MS
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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