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BROOKE LOFTIN

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1952714453

Individual Registrant:
 BROOKE  LOFTIN 
Gender: F
Sole Proprietor

Location and contact information for practice:
284 CLYDE LOFTIN RD  SUMRALL, MS 39482-3605 US
Tel: 601-543-4084  Fax: --

Contact information for business:
284 CLYDE LOFTIN RD  SUMRALL, MS 39482-3605 US
Tel: 601-543-4084  Fax: --

Registration Information:
NPI: 1952714453
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
MSPTA3865

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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