| NPI | 1942027214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN COATES GOLDMAN Occupational Therapist 601-443-1836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-09-26 |