Individual
ANTHONY LOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
12449 HIGHWAY 49 STE C, GULFPORT, MS 39503-2983
(228) 872-6836
Mailing address
325 MADISON AVE, WIGGINS, MS 39577-3336
(601) 723-0245
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
MS
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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