Individual
ANNA KATHRYN MICHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6858 SWINNEA RD BLDG 4, SOUTHAVEN, MS 38671-9493
(662) 772-5937
Mailing address
6858 SWINNEA RD BLDG 4, SOUTHAVEN, MS 38671-9493
(662) 772-5937
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
394361
MS
Other
Enumeration date
01/09/2018
Last updated
03/17/2018
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