LIESA J ALLEN

RIDGELAND, MS
NPI1073639688
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  TA1993)
Enumeration Date2007-03-22
Last Update Date2007-07-08
Business Address
-- LIESA J ALLEN COTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
-- LIESA J ALLEN COTA
4501 HIGHWAY 39 N APT 13B
MERIDIAN, MS 39301-1073
Phone number: 601-937-3702