Loren Pearson, PTA
NPI #1134413511 in Kosciusko, Mississippi
Provider Information
- NPI Number
- 1134413511
- Entity Type
- Individual
- Name
- Loren Pearson, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jun 3, 2011
- Last Updated
- Jan 15, 2018
Practice Location
- Address
- 310 AUTUMN RIDGE DR
- City
- Kosciusko
- State
- Mississippi
- ZIP Code
- 39090-3242
- Phone
- (660) 289-3499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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