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BROOKE LOFTIN
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1952714453
Individual Registrant: BROOKE LOFTIN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
284 CLYDE LOFTIN RD SUMRALL, MS 39482-3605 US
Tel: 601-543-4084 Fax: --
Tel: 601-543-4084 Fax: --
Contact information for business:
284 CLYDE LOFTIN RD SUMRALL, MS 39482-3605 US
Tel: 601-543-4084 Fax: --
Tel: 601-543-4084 Fax: --
Registration Information:
NPI: 1952714453
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant | MS | PTA3865 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
