Individual
LAURA OLALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7408 HOLLY GROVE DR, OLIVE BRANCH, MS 38654-1428
(901) 319-2963
Mailing address
7408 HOLLY GROVE DR, OLIVE BRANCH, MS 38654-1428
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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