Individual
MRS. JENIFER M. LASSETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4315 WILLIAMSON RD, CLINTON, MS 39056-9725
(601) 924-4986
(601) 924-1888
Mailing address
4315 WILLIAMSON RD, CLINTON, MS 39056-9725
(601) 924-4989
(601) 924-1888
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1171
MS
Other
Enumeration date
09/12/2006
Last updated
07/20/2007
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