NPI 1124232293

Marquis Stevenson

Practitioner Physical Therapy Assistant McComb, MS

Practice location

Address: 206 Maryland Ave, McComb, MS 39648-3926
Phone: (601) 250-4815
Fax: (601) 250-6859
Mailing address: 112 Lakes Dr S, Oxford, MS 38655-9213

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA2176 (MS)

Other Physical Therapy Assistant providers in Mississippi →

Registry record

NPI: 1124232293
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 May 2007
Record last updated: 8 Jul 2007

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.