Individual
BARBARA IVORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4109 HWY 98 WEST, SUMMIT, MS 39666
(601) 276-3900
Mailing address
PO BOX 665, TUSKEGEE INSTITUTE, AL 36087-0665
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2052
AL
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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