Individual
LAKEN HOOD RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1211 S GLOSTER ST STE C, TUPELO, MS 38801-6548
(662) 432-1523
Mailing address
199 N BROOKMOORE DR, COLUMBUS, MS 39705-2024
(662) 798-0108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6049
MS
Other
Enumeration date
10/05/2017
Last updated
03/07/2022
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