Individual
MR. SAMUEL ERNEST LANDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
220 S CURRAN AVE, SUITE B, PICAYUNE, MS 39466-4524
(601) 749-8145
(601) 749-8146
Mailing address
220 S CURRAN AVE, SUITE B, PICAYUNE, MS 39466-4524
(601) 749-8145
(601) 749-8146
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3492
MS
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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