MR. Kendra Alexis Deberry, PTA
NPI #1104847094 in Olive Branch, Mississippi
Provider Information
- NPI Number
- 1104847094
- Entity Type
- Individual
- Name
- MR. Kendra Alexis Deberry, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jul 23, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5600 GOODMAN RD STE D
- City
- Olive Branch
- State
- Mississippi
- ZIP Code
- 38654-7002
- Phone
- (662) 895-5454
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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