Individual
GABRIELLE CHINICHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
204 ENTERPRISE DR, OXFORD, MS 38655
(662) 234-0010
(662) 234-0017
Mailing address
199 N BROOKMOORE DR, COLUMBUS, MS 39705-2024
(662) 327-6705
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
PT1480
MS
Other
Enumeration date
06/24/2006
Last updated
03/28/2019
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