Brian Allen Henry LPTA

NPI 1063605152 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1063605152
Gender Male
Enumeration Date 08/22/2007
Last Updated 08/22/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
13 NORTHTOWN DR
SUITE 110
JACKSON MS, 39211-3047, US
Phone (601) 206-9195
Fax (601) 957-8391
Business Location
13 NORTHTOWN DR
SUITE 110
JACKSON MS, 39211-3047, US
Phone (601) 206-9195
Fax (601) 957-8391
Toxanomy
Taxonomy Code 225200000X
License State Mississippi
License Number PTA2693
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According to our database, Brian Allen Henry LPTA NPI is 1063605152, taxonomy code is 225200000X and license number is PTA2693, license state is located at Mississippi. Brian Allen Henry LPTA physically located at 13 Northtown Dr, Jackson MS, 39211-3047. NPI Number Brian Allen Henry LPTA has the Individual type.

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1063605152 NPI number is provided on an as is basis without warranty of any kind. 1063605152 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Allen Henry LPTA are for informational purposes only.