Individual
ALAN R CUTSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
503 CONSTITUTION DR, IUKA, MS 38852-8605
(662) 424-9500
Mailing address
503 CONSTITUTION DR, IUKA, MS 38852-8605
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2218
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
01/25/2018
Last updated
01/25/2018
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