EBONY LAPORSCHE FEARS ASHMORE

FLOWOOD, MS
NPI1689022113
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MS  OT3089)
Enumeration Date2016-05-25
Last Update Date2016-05-25
Business Address
-- EBONY LAPORSCHE FEARS ASHMORE OTR/L
1227 PIN OAK DR APT M4
FLOWOOD, MS 39232-9702
Phone number: 662-295-1932
Mailing Address
-- EBONY LAPORSCHE FEARS ASHMORE OTR/L
1227 PIN OAK DR APT M4
FLOWOOD, MS 39232-9702
Phone number: 662-295-1932