Individual
CORTNEY DEARMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
809 N STATE ST, JACKSON, MS 39202-2604
(769) 216-3288
Mailing address
1528 OLD JACKSON RD, TERRY, MS 39170-7163
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4964
MS
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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