Individual
HANNAH ASHLEY POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
96 OLD HIGHWAY 80 E, MORTON, MS 39117-9771
(601) 732-6361
Mailing address
13 NORTHTOWN DR STE 110, JACKSON, MS 39211-3047
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA3380
MS
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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