ANITRA LASHAUN CLAYTON

RIDGELAND, MS
NPI1821212804
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA3299)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
-- ANITRA LASHAUN CLAYTON LPTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
-- ANITRA LASHAUN CLAYTON LPTA
RR 1 BOX 208AC
PORTERVILLE, MS 39352-9750
Phone number: 662-476-8612