Provider Demographics
NPI:1760889554
Name:RANSON, LAURA CATHERINE (PT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:CATHERINE
Last Name:RANSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:RANSON
Other - Last Name:LACOSTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2 TOWER PLAZ, SUITE B
Mailing Address - Street 2:COMMUNITY REHAB CENTER
Mailing Address - City:LONG BEACH
Mailing Address - State:MS
Mailing Address - Zip Code:39560
Mailing Address - Country:US
Mailing Address - Phone:228-864-5090
Mailing Address - Fax:228-864-5054
Practice Address - Street 1:2 TOWER PLAZ, SUITE B
Practice Address - Street 2:COMMUNITY REHAB CENTER
Practice Address - City:LONG BEACH
Practice Address - State:MS
Practice Address - Zip Code:39560
Practice Address - Country:US
Practice Address - Phone:228-864-5090
Practice Address - Fax:228-864-5054
Is Sole Proprietor?:No
Enumeration Date:2014-11-24
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT2748225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist