Individual
MISS AUDRA WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
123 DRIVE 1345, MOOREVILLE, MS 38857-7128
(662) 322-2312
Mailing address
123 DRIVE 1345, MOOREVILLE, MS 38857-7128
(662) 322-2312
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2711
MS
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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