Individual
BRENNA GRACE W SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2015 HIGHPOINTE DR, BRANDON, MS 39042-3169
(601) 724-7310
(601) 724-7311
Mailing address
207 W JACKSON ST, SUITE 2, RIDGELAND, MS 39157-2355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3240
MS
Other
Enumeration date
07/11/2016
Last updated
04/02/2018
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