Individual
MS. KENZIE ELIZABETH ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
804 E MAIN ST, WEST POINT, MS 39773-3137
(662) 494-3640
Mailing address
2100 ENGLEWOOD DR, TUPELO, MS 38801-5655
(662) 401-9450
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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