Individual
BROOKE LOFTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
284 CLYDE LOFTIN RD, SUMRALL, MS 39482-3605
(601) 543-4084
Mailing address
284 CLYDE LOFTIN RD, SUMRALL, MS 39482-3605
(601) 543-4084
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3865
MS
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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