SOUTHERN PEDIATRIC THERAPY

HERNANDO, MS
NPI1063985885
Entity TypeOrganization
Authorized ContactJENNIFER PACILEO
Owner
662-469-2906
Organization Subpart ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
Enumeration Date2019-01-03
Last Update Date2019-01-03
Business Address
SOUTHERN PEDIATRIC THERAPY
1772 CARLEE DR
HERNANDO, MS 38632-8844
Phone number: 662-469-2906
Mailing Address
SOUTHERN PEDIATRIC THERAPY
PO BOX 441
HERNANDO, MS 38632-0441
Phone number: