| NPI | 1417054180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE THOMPSON HUGHES Occupational Therapist 228-872-3042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2020-08-22 |