Individual
MARY HANNAH IVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1883 HIGHWAY 43 S STE C, CANTON, MS 39046-8406
(601) 667-3730
Mailing address
1883 HIGHWAY 43 S STE C, CANTON, MS 39046-8406
(601) 667-3730
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3472
MS
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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