LORRAINE M STREET

JACKSON, MS
NPI1770716615
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MS  OT0074)
Enumeration Date2009-08-26
Last Update Date2009-08-26
Business Address
MRS. LORRAINE M STREET OTR/L
4500 I 55 N SUITE 291, HIGHLAND VILLAGE
JACKSON, MS 39211-5930
Phone number: 601-362-0859
Mailing Address
MRS. LORRAINE M STREET OTR/L
4500 I 55 N SUITE 291, HIGHLAND VILLAGE
JACKSON, MS 39211-5930
Phone number: 601-362-0859
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