Individual
SANDRA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 VETERANS DR, OXFORD, MS 38655-3578
(662) 234-9898
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3909
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA2782
MS
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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