JAY EVAN WALKER

RIDGELAND, MS
NPI1306996996
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  TA1619)
Enumeration Date2007-01-12
Last Update Date2007-07-08
Business Address
Mr. JAY EVAN WALKER COTA-L
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
Mr. JAY EVAN WALKER COTA-L
16408 HIGHWAY 80
HICKORY, MS 39332-3332
Phone number: 601-646-6049