Individual
SAMUEL PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
4347 W GAY RD, DIBERVILLE, MS 39540-3412
(228) 392-8484
Mailing address
318 W MCHENRY RD, PERKINSTON, MS 39573-3346
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA7918
MS
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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