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NPI Code Detail

MEDICARE: ASHTON HARRIS LPTA

MEDICARE:   ASHTON  HARRIS  LPTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantPTA5117MS

General Provider Information

NPI Number : 1669878633
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHTON HARRIS LPTA
Provider Business Mailing Address
First Line : 2 TOWER PLZ
Second Line : SUITE B
City : LONG BEACH
State : MS
Zip : 39560-3900
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2 TOWER PLZ
Second Line : SUITE B
City : LONG BEACH
State : MS
Zip : 39560-3900
Country : US
Telephone Number : 228-864-5090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2014
Last Update Date : 11/18/2014

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Directions to “ ASHTON HARRIS LPTA” Practice Location

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