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Cortney Dearman

Physical Therapy Assistant in Jackson, MS. Individual provider (NPI-1).

NPI number1861935546
StatusActive
Last updated in NPPESNov 29, 2016

Details

NPI
1861935546
Entity type
Individual (NPI-1)
Name
Cortney Dearman
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 29, 2016
Last updated
Nov 29, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA4964MSYes

Practice location

809 N State St
Jackson, MS 39202-2604

Phone 769-216-3288

Mailing address

1528 Old Jackson Rd
Terry, MS 39170-7163

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