Individual
KASEY LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 EMERALD DR, COLUMBUS, MS 39702-5526
(662) 244-8823
Mailing address
6361 WOLFE RD., COLUMBUS, MS 39705
(662) 244-8823
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA2791
MS
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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