NPI 1780905471

Lara McDonald, LPTA

Practitioner Physical Therapy Assistant Wiggins, MS

Practice location

Address: 711 Hall St, Wiggins, MS 39577-2105
Phone: (601) 928-5511

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA2508 (MS)

Other Physical Therapy Assistant providers in Mississippi →

Registry record

NPI: 1780905471
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jun 2010
Record last updated: 16 Jun 2010

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.