Individual
CHARITY DAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 MARYLAND AVE, MCCOMB, MS 39648-3926
(601) 250-4815
Mailing address
175 HUTTO RD, WINNSBORO, LA 71295-5707
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
Z20508
LA
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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