Individual
TERRENCE CALEB LAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
24 N WALMART DR STE F, LOUISVILLE, MS 39339-6898
(662) 779-1096
(662) 779-3949
Mailing address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 703-4282
(601) 703-4597
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5197
MS
Other
Enumeration date
02/27/2013
Last updated
07/06/2021
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