Individual
AMY C STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
123 JEFFERSON DAVIS BLVD, NATCHEZ, MS 39120-5103
(601) 445-0005
(601) 445-0370
Mailing address
123 JEFFERSON DAVIS BLVD, NATCHEZ, MS 39120-5103
(601) 445-0005
(601) 445-0370
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1576
MS
225X00000X
Occupational Therapist
OTT.Z12205
LA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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