Individual
GRETA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5244 STONE BRIAR DR, MERIDIAN, MS 39301-7433
(601) 479-4625
Mailing address
5244 STONE BRIAR DR, MERIDIAN, MS 39301-7433
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1175
MS
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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