Individual
MRS. KATHY G ARMSTRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1300 SUNSET DR, SUITE F, GRENADA, MS 38901-4086
(662) 226-5747
(662) 226-5622
Mailing address
1300 SUNSET DR, SUITE F, GRENADA, MS 38901-4086
(662) 226-5747
(662) 226-5622
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700994738
PECOS
MS
01
—
640835695
BC/BS OF MISSISSIPPI
MS
01
—
OT008
STATE LICENSE
MS
Enumeration date
08/29/2006
Last updated
06/28/2010
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