Tamekia Lavern Sutton PTA

NPI 1992850366 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1992850366
Gender Female
Enumeration Date 01/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
RIDGELAND MS, 39157-5120, US
Phone (601) 605-6777
Fax (601) 605-8869
Business Location
1127 HOWELL RD # B
PURVIS MS, 39475-3543, US
Phone (601) 550-3855
Taxonomy Code 225200000X
License State Mississippi
License Number PTA4083
Remove 1992850366 NPI Number

According to our database, Tamekia Lavern Sutton PTA NPI is 1992850366, taxonomy code is 225200000X and license number is PTA4083, license state is located at Mississippi. Tamekia Lavern Sutton PTA physically located at 711 Avignon Dr, Ridgeland MS, 39157-5120. NPI Number Tamekia Lavern Sutton PTA has the Individual type.

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1992850366 NPI number is provided on an as is basis without warranty of any kind. 1992850366 is maintained by the National Plan & Provider Enumeration System. The contents of Tamekia Lavern Sutton PTA are for informational purposes only.