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Organization

INNOVATIVE HANDS OF THERAPY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NIESHA LASHA GILMORE OTR/L (MANAGER)
(601) 951-7458
Entity
Organization

Contact information

Practice address
519 SCOTT ST, JACKSON, MS 39203-1825
(601) 951-7458
Mailing address
519 SCOTT ST, JACKSON, MS 39203-1825
(601) 951-7458

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
04/29/2020
Last updated
04/29/2020
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