Individual
ASHTEN BEDWELL BADON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
612 SHILOH FIRETOWER RD, FOXWORTH, MS 39483-4704
(601) 647-1279
Mailing address
612 SHILOH FIRETOWER RD, FOXWORTH, MS 39483-4704
(601) 647-1279
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-3254
MS
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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