Individual
AMANDA A COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
98 SHELBY SPEIGHTS DR, PURVIS, MS 39475-4528
(601) 794-2402
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 264-6000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2734
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09003893
—
MS
Enumeration date
06/26/2006
Last updated
08/07/2023
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