William David Henry DMD, PT

NPI 1073692836 - Physical Therapist - 225100000X

NPI Details
NPI 1073692836
Gender Male
Enumeration Date 11/03/2006
Last Updated 08/16/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
5935 HIGHWAY 18 W
JACKSON MS, 39209-9625, US
Phone (601) 922-7028
Fax (601) 922-9005
Business Location
5935 HIGHWAY 18 W
JACKSON MS, 39209-9625, US
Phone (601) 922-7028
Fax (601) 922-9005
Toxanomy
Taxonomy Code 225100000X
License State Mississippi
License Number PT 2975
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According to our database, William David Henry DMD, PT NPI is 1073692836, taxonomy code is 225100000X and license number is PT 2975, license state is located at Mississippi. William David Henry DMD, PT physically located at 5935 Highway 18 W, Jackson MS, 39209-9625. NPI Number William David Henry DMD, PT has the Individual type.

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1073692836 NPI number is provided on an as is basis without warranty of any kind. 1073692836 is maintained by the National Plan & Provider Enumeration System. The contents of William David Henry DMD, PT are for informational purposes only.