Individual
ALLIE HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1129 HIGHWAY 35 S STE 2, FOREST, MS 39074-8829
(601) 469-1001
(601) 469-1009
Mailing address
1129 HIGHWAY 35 S STE 2, FOREST, MS 39074-8829
(601) 469-1001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3366
MS
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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