Individual
JESSIE KEYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1001 HOSPITAL RD, STARKVILLE, MS 39759-2125
(662) 323-6360
Mailing address
1298 ENDOTHA RD, LOT 16, STARKVILLE, MS 39759-9072
(662) 418-0916
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA2539
MS
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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