Individual
CORNELIUS HURD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2429 SOUTHERN DR, GAUTIER, MS 39553-6927
(228) 218-3112
Mailing address
2429 SOUTHERN DR, GAUTIER, MS 39553-6927
(228) 218-3112
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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