Individual
MATTHEW JAMES LADNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
15190 COMMUNITY RD, GULFPORT, MS 39503-3485
(228) 831-0416
(228) 831-0521
Mailing address
15190 COMMUNITY RD, GULFPORT, MS 39503-3485
(228) 831-0416
(228) 831-0521
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5207
MS
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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