| NPI | 1154555985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY FOSTER Occupational Therapist 601-672-8816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT1408) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-07 |