Doctor Name: | LAUREN A FERGUSON |
NPI Number: | 1710235874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT5113 |
Business Practice Address: | 15476b Dedeaux Rd Gulfport, MS - 395032637 |
Business Phone Number: | 2285393232 |
Business Fax Number: | 2285393230 |
Mailing Address: | 900 Holcomb Blvd, Ste A OCEAN SPRINGS |
State: | MS |
Postal Code: | 395643903 |
Phone Number: | 2283885714 |
Fax Number: | 2283880017 |
NPI Enumeration Date: | 08/21/2012 |
NPI Last Update Date: | 01/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT5113 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |