Individual
LAWREN E TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
120 DISTRICT BLVD STE D102, JACKSON, MS 39211-6304
(769) 204-8222
(769) 235-2751
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
(615) 221-9054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6100
MS
Other
Enumeration date
12/26/2012
Last updated
04/20/2021
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