Organization
INNOVATIVE VISION SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY FOSTER MS, OTR/L (OCCUPATIONAL THERAPIST)
(601) 672-8816
Entity
Organization
Contact information
Practice address
557 FIRST ST, FLORA, MS 39071-9339
(601) 672-8816
Mailing address
557 FIRST ST, FLORA, MS 39071-9339
(601) 672-8816
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1408
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02131059
—
MS
Enumeration date
05/07/2009
Last updated
05/07/2009
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