Individual
BRIAN ALLEN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
13 NORTHTOWN DR, SUITE 110, JACKSON, MS 39211-3047
(601) 206-9195
(601) 957-8391
Mailing address
13 NORTHTOWN DR, SUITE 110, JACKSON, MS 39211-3047
(601) 206-9195
(601) 957-8391
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A7693R
LA
225200000X
Physical Therapy Assistant
CP017917A
LA
225200000X
Physical Therapy Assistant
Primary
PTA2693
MS
Other
Enumeration date
08/22/2007
Last updated
03/12/2023
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