Individual
KELLI SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 NATCHEZ AVE, BROOKHAVEN, MS 39601-4058
(601) 754-1029
Mailing address
402 NATCHEZ AVE, BROOKHAVEN, MS 39601-4058
(601) 754-1029
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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