Individual
MRS. COURTNEY WILLIAMS HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 426-4000
Mailing address
249 L D BRADLEY RD, MOSELLE, MS 39459-9507
(601) 422-3575
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4043
MS
225200000X
Physical Therapy Assistant
—
IL
Other
Enumeration date
03/27/2007
Last updated
02/19/2019
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