Individual
MRS. KAY AULTMAN EDUARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2550 FLOWOOD DR, SUITE 102, FLOWOOD, MS 39232-9303
(601) 936-2393
(601) 936-2264
Mailing address
5425 CHARTER OAK PL, JACKSON, MS 39211-4618
(601) 957-7075
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT0009
MS
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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