Individual
HALEY RAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 W QUITMAN ST, IUKA, MS 38852-1129
(662) 423-3422
Mailing address
PO BOX 202, GOLDEN, MS 38847-0202
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA2461
MS
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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