Individual
EMILY BRELAND UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
950 E COUNTY LINE RD STE A, RIDGELAND, MS 39157-1928
(601) 487-6088
(601) 487-6068
Mailing address
950 E COUNTY LINE RD STE A, RIDGELAND, MS 39157-1928
(601) 487-6088
(601) 487-6068
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3539
MS
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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