Individual
JASON LODRIGUESS KIFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
3640 PURVIS TO COLUMBIA RD, LUMBERTON, MS 39455-8347
(877) 896-3660
Mailing address
3640 PURVIS TO COLUMBIA RD, LUMBERTON, MS 39455-8347
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1884
MS
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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