Individual
MS. LATOYA LANETTE TRUNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
787 EAST NORTHSIDE DRIVE, JACKSON, MS 39206
(504) 813-4968
Mailing address
787 EAST NORTHSIDE DRIVE, JACKSON, MS 39206
(601) 383-4498
(601) 372-6303
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA2597
MS
Other
Enumeration date
07/20/2019
Last updated
07/20/2019
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