Individual
JESSICA FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1301 W GOVERNMENT ST, BRANDON, MS 39042-3196
(601) 591-7535
Mailing address
921 W BEACON ST, PHILADELPHIA, MS 39350-3229
(601) 650-0002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3499
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT3499
OT LICENSE NUMBER
MS
Enumeration date
11/14/2022
Last updated
11/14/2022
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