SHANNON LANE BROWN

BAY SPRINGS, MS
NPI1578857363
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  TA2354)
Enumeration Date2011-06-09
Last Update Date2011-06-09
Business Address
MR. SHANNON LANE BROWN COTA
43 COUNTY ROAD 1721
BAY SPRINGS, MS 39422-9804
Phone number: 601-467-3476
Mailing Address
MR. SHANNON LANE BROWN COTA
43 COUNTY ROAD 1721
BAY SPRINGS, MS 39422-9804
Phone number: 601-467-3476