Individual
MRS. LAURA RAE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
16049 ORANGE GROVE RD., GULFPORT, MS 39503
(228) 832-9344
(228) 831-1761
Mailing address
16049 ORANGE GROVE RD., GULFPORT, MS 39503
(228) 832-9344
(228) 831-1761
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2426
MS
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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