| NPI | 1871973636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MCCOLLUM Office Manager 662-869-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT3064) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |