Individual
ANNA C HUCKABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2319 HIGHWAY 145, SALTILLO, MS 38866-9199
(662) 869-9980
(662) 869-9970
Mailing address
199 N BROOKMOORE DR, COLUMBUS, MS 39705-2024
(662) 327-6705
(662) 327-6760
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA3682
MS
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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