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Individual

DR. BETHANY A. WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
950 E COUNTY LINE RD STE D, RIDGELAND, MS 39157-1928
(601) 899-0002
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 206-4158
(717) 773-4651

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT013382
OH
225100000X
Physical Therapist
Primary
PT4937
MS

Other

Enumeration date
08/13/2013
Last updated
06/24/2022
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