Individual
LEE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 VETERANS DR, OXFORD, MS 38655-3578
(662) 234-9898
Mailing address
60064 SWAN HILL RD, AMORY, MS 38821-8130
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5560
MS
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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