Individual
JENNIFER WEIR NORSWORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
148 EASTSIDE DR, BRANDON, MS 39047-7709
(601) 940-5508
Mailing address
148 EASTSIDE DR, BRANDON, MS 39047-7709
(601) 940-5508
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3647
MS
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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