Individual
MICHAEL ALEXANDER PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1670 MCCLURE CV, TUPELO, MS 38804-1209
(662) 205-8171
Mailing address
1670 MCCLURE CV, TUPELO, MS 38804-1209
(662) 205-8171
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3686
MS
225XH1200X
Hand Occupational Therapist
5145
AL
Other
Enumeration date
03/25/2020
Last updated
03/12/2026
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