Organization
NOLYTAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATYLON NICOLE ANDERSON OTR/L (OCCUPATIONAL THERAPIST)
(318) 237-2739
Entity
Organization
Contact information
Practice address
1503 LAWNDALE DR, TUPELO, MS 38801-6133
(318) 237-2739
Mailing address
1503 LAWNDALE DR, TUPELO, MS 38801-6133
(318) 237-2739
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
02/20/2025
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