NPI 1154725562

Matthew James Ladner, LPTA

Practitioner Physical Therapy Assistant Gulfport, MS

Practice location

Address: 15190 Community Rd, Gulfport, MS 39503-3485
Phone: (228) 831-0416
Fax: (228) 831-0521

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA5207 (MS)

Other Physical Therapy Assistant providers in Mississippi →

Registry record

NPI: 1154725562
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Oct 2014
Record last updated: 14 Oct 2014

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.