Individual
ANNA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
(601) 276-3938
Mailing address
PO BOX 579, SUMMIT, MS 39666-0579
(601) 276-3900
(601) 276-3938
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT3077
MS
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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