Individual
KRISTY S PACE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
433 BROAD ST, COLUMBIA, MS 39429-3038
(601) 444-0030
Mailing address
30 RUE BORDEAUX, HATTIESBURG, MS 39402
(601) 268-6491
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1466
MS
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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