Individual
BRIANA EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MEDICAL BLVD, HATTIESBURG, MS 39401-7230
(601) 264-0357
Mailing address
7237 U S HIGHWAY 11, LUMBERTON, MS 39455-7528
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4578
MS
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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