Individual
AUTUMN ELISE BIRDSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1301A HARRISON AVE, MCCOMB, MS 39648-2829
(601) 250-5455
(601) 250-5453
Mailing address
1301A HARRISON AVE, MCCOMB, MS 39648-2829
(601) 250-5455
(601) 250-5453
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2119
MS
Other
Enumeration date
05/10/2019
Last updated
06/10/2019
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