SUMMER HENRY MOORE

UNION, MS
NPI1457132102
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  OTA-3948)
Enumeration Date2023-10-09
Last Update Date2023-10-09
Business Address
MRS. SUMMER HENRY MOORE COTA/L
101 KIRKLAND ST
UNION, MS 39365-3205
Phone number: 601-774-8233
Mailing Address
MRS. SUMMER HENRY MOORE COTA/L
603 COUNTY LINE ST
UNION, MS 39365-3202
Phone number: 601-616-4897
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