Individual
ASHLEY MARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
161 MANDY DR, BRANDON, MS 39042-8975
(601) 622-7272
Mailing address
PO BOX 401, BRANDON, MS 39043-0401
(601) 622-7272
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2212
MS
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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