Individual
MS. IVANA MY-KIEU LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 13TH ST STE 900, GULFPORT, MS 39501-2515
(228) 822-6965
Mailing address
2400 RHONDA AVE, OCEAN SPRINGS, MS 39564-3785
(228) 297-9914
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
3655
NV
224Z00000X
Occupational Therapy Assistant
Primary
3977
MS
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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