Individual
LATISHA E YABLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
285 HOLMES PITTMAN RD, FOXWORTH, MS 39483-3166
(601) 736-3111
(601) 444-5036
Mailing address
36 GREENBRIAR LN, LAUREL, MS 39443-0719
(601) 498-4200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1688
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT1688
MISSISSIPPI STATE BOARD OF PHYSICAL THERAPY
MS
Enumeration date
08/22/2013
Last updated
08/22/2013
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