NPI 1538258736

Rick a Psonak, CPO

Practitioner Orthotist Jackson, MS

Practice location

Address: 777 Lakeland Dr, Jackson, MS 39216-4611
Phone: (601) 984-6525
Fax: (601) 984-5485
Mailing address: PO Box 3188, Jackson, MS 39207-3188

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CPO1452 (MS)

Other Orthotist providers in Mississippi →

Registry record

NPI: 1538258736
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2006
Record last updated: 14 Feb 2008

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.