Whalio Doctors

NPI 1093355752

Antonio McCall

Practitioner Physical Therapy Assistant Southaven, MS

Practice location

Address
2575 Russum Dr, Southaven, MS 38672-6564
Phone
(901) 649-2021

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 5057 (TN)

Registry record

NPI
1093355752
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jan 2020
Record last updated
10 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.