NPI 1184804338

Michael Q Hedrick, PTA

Practitioner Physical Therapy Assistant Vicksburg, MS

Practice location

Address: 1990 S Frontage Rd STE J, Vicksburg, MS 39180-5232
Phone: (601) 883-1983
Fax: (601) 883-1938

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PA3421 (MS)

Other Physical Therapy Assistant providers in Mississippi →

Registry record

NPI: 1184804338
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Nov 2007
Record last updated: 5 Nov 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.