Individual
COURTNEY RAE PURVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
177 S HIDDEN VALLEY RD, GRENADA, MS 38901-8804
(662) 414-0247
Mailing address
177 S HIDDEN VALLEY RD, GRENADA, MS 38901-8804
(662) 414-0247
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2977
MS
Other
Enumeration date
06/30/2015
Last updated
04/16/2021
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