Mary Jennings Bouchillon, DPT

NPI #1528685542 in Saltillo, Mississippi

Provider Information

NPI Number: 1528685542
Entity Type: Individual
Name: Mary Jennings Bouchillon, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 26, 2020
Last Updated: Jun 26, 2020

Practice Location

Address: 2319 HIGHWAY 145
City: Saltillo
State: Mississippi
ZIP Code: 38866-9199
Phone: (662) 869-9980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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