Individual
LISA Q. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
680 BAY COVE DRIVE, RESIDENTS AT BAYCOVE, BILOXI, MS 39532
(601) 206-9195
(601) 957-8391
Mailing address
P.O. BOX 315, RIDGELAND, MS 39158
(601) 206-9195
(601) 957-8391
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0930
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014160
—
MS
Enumeration date
10/17/2012
Last updated
10/17/2012
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