Individual
ANNA GAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1481 BYHALIA RD, HERNANDO, MS 38632-1003
(662) 469-2906
(662) 469-4229
Mailing address
1481 BYHALIA RD, HERNANDO, MS 38632-1003
(662) 469-2906
(662) 469-4222
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3828
MS
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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