| NPI | 1558696658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARIE MILLER Occupational Therapist 662-312-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MS OT0179) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2009-10-07 |