Individual
MARTHA ELIZA PARSONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 EDGEWATER DR, PHILADELPHIA, MS 39350-2079
(601) 562-5863
Mailing address
568 CENTER AVE S, PHILADELPHIA, MS 39350-2245
(601) 562-5863
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2930
MS
Other
Enumeration date
06/13/2014
Last updated
08/24/2022
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