Individual
TYWANDA BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4109 HIGHWAY 98W, SUMMIT, MS 39666
(601) 276-3900
Mailing address
4630 OLD SLAUGHTER RD, ZACHARY, LA 70791-3550
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
LA
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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