Individual
MRS. ELIZABETH A. O'BRIEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
702 HIGHWAY 82 W, B, GREENWOOD, MS 38930-5069
(662) 455-5010
(662) 455-5468
Mailing address
702 HIGHWAY 82 W, B, GREENWOOD, MS 38930-5069
(662) 455-5010
(662) 455-5468
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1570
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06374381
—
MS
Enumeration date
10/04/2005
Last updated
07/08/2007
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