Individual
LISA MUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
82302 HOLLIDAY RD, FOLSOM, LA 70437-5212
(985) 796-4600
Mailing address
9113 WARBLER AVE, OCEAN SPRINGS, MS 39564-8379
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09281R
LA
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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