Individual
HOLLY BERRY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2580 JACKSON AVE W, SUITE 38, OXFORD, MS 38655-5489
(662) 232-8949
(662) 232-8950
Mailing address
2580 JACKSON AVE W, SUITE 38, OXFORD, MS 38655-5489
(662) 232-8949
(662) 232-8950
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3820
MS
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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