NPI 1134413511

Loren Pearson, PTA

Practitioner Physical Therapy Assistant Kosciusko, MS

Practice location

Address: 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242
Phone: (660) 289-3499
Mailing address: 4109 Highway 98 W, Summit, MS 39666-9132

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA4943 (MS)

Other Physical Therapy Assistant providers in Mississippi →

Registry record

NPI: 1134413511
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jun 2011
Record last updated: 15 Jan 2018

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.