Individual
MRS. GLENDA NEIGHBORS MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
247 CALDWELL DR, HAZLEHURST, MS 39083-2711
(601) 894-3646
Mailing address
100 FOXGATE PL, JACKSON, MS 39211-2202
(601) 594-9272
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1891
MS
Other
Enumeration date
02/18/2009
Last updated
04/18/2016
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