Individual
MRS. TANYA L STEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
130 PARKWAY PLAZA, KOSCIUSKO, MS 39090
(662) 289-3488
(662) 289-3433
Mailing address
PO BOX 23996, JACKSON, MS 39225
(601) 206-6100
(601) 206-6052
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0740
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03970567
—
MS
Enumeration date
04/11/2006
Last updated
12/12/2012
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