Individual
MISS CAMERON MACKENZIE WALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2118 SANDY LN, LAUREL, MS 39443-9087
(601) 342-2923
(601) 255-8623
Mailing address
7318 UNION RD, RICHTON, MS 39476-7813
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-4085
MS
Other
Enumeration date
08/19/2022
Last updated
09/08/2025
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