| NPI | 1679405245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REAGAN MAYBERRY Occupational Therapist / Owner 601-325-0216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2026-05-30 |
| Last Update Date | 2026-05-30 |