Individual
SARAH CARTER PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
6300 E LAKE BLVD STE 202, VANCLEAVE, MS 39565-6771
(228) 769-1683
Mailing address
6008 ALLEN RD, VANCLEAVE, MS 39565-8672
(228) 218-0580
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4196
MS
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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