Individual
MRS. NATYLON NICOLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
(601) 605-8869
Mailing address
1503 LAWNDALE DR, TUPELO, MS 38801-6133
(662) 842-4320
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1926
MS
225XE0001X
Environmental Modification Occupational Therapist
OT1926
MS
Other
Enumeration date
01/09/2007
Last updated
01/04/2024
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