Individual
MRS. KITTY JOSETTE STOGNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT, ATP
Contact information
Practice address
521 PELAHATCHIE SHORE DR, BRANDON, MS 39047-6282
(601) 613-7328
Mailing address
521 PELAHATCHIE SHORE DR, BRANDON, MS 39047-6282
(601) 613-7328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3204
MS
225100000X
Physical Therapist
PT7497
TN
225100000X
Physical Therapist
PTH4728
AL
225100000X
Physical Therapist
TP#06987R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08056277
—
MS
Enumeration date
05/30/2006
Last updated
07/08/2007
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