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Individual

JESSICA RUTLEDGE PRINCELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
1318 15TH AVE, MERIDIAN, MS 39301-4205
(601) 938-7740
Mailing address
2198A HIGHWAY 19 S, MERIDIAN, MS 39301-8214
(601) 938-7740

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2847
MS
225X00000X
Occupational Therapist
Primary
3498
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2847
OT
MS
05
2847
MS
01
3498
AL BOARD OF OT
AL
01
4623
OCCUPATIONAL THERAPIST
TN
Enumeration date
09/18/2012
Last updated
01/02/2026
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