Individual
LAICON PARTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 HIGHWAY 35 S, FOREST, MS 39074-8829
(601) 469-2732
Mailing address
PO BOX D, FOREST, MS 39074-0558
(601) 469-4151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7544
MS
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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