Individual
MRS. MARY ELIZABETH SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1506 HIGHWAY 278 E, AMORY, MS 38821-5918
(662) 304-4027
Mailing address
1506 HIGHWAY 278 E, AMORY, MS 38821-5918
(662) 304-4027
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2590
MS
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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