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Individual

ASHTYN MARIE BELLAIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
680 BAY COVE DRIVE, BILOXI, MS 39532
(228) 702-0142
Mailing address
13054 THREE OAKS RD, BILOXI, MS 39532-7715

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3931
MS
225X00000X
Occupational Therapist
5822
AL

Other

Enumeration date
06/20/2022
Last updated
06/20/2022
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