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Individual

LAUREN A FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
15476B DEDEAUX RD, GULFPORT, MS 39503-2637
(228) 539-3232
(228) 539-3230
Mailing address
900 HOLCOMB BLVD, STE A, OCEAN SPRINGS, MS 39564-3903
(228) 388-5714
(228) 388-0017

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5113
MS

Other

Enumeration date
08/21/2012
Last updated
01/26/2016
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