Individual
ANDRE' BADELLE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1500 EAST WOODROW WILSON DRIVE, JACKSON, MS 39216-5199
(601) 362-4471
Mailing address
1741 OVERBROOK DR, JACKSON, MS 39213-4719
(601) 982-2940
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1870
MS
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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