Individual
SUZANNE CHITTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
90A CLARK BLVD, TUPELO, MS 38801
(662) 840-0535
Mailing address
2686 ORCHID CIR, TUPELO, MS 38801-8222
(662) 372-1621
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1487
MS
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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