Individual
SACHA R MACGOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 SGT JOHN A PITTMAN DR, GREENWOOD, MS 38930-7343
(662) 453-9173
(662) 455-4933
Mailing address
902 SGT JOHN A PITTMAN DR, GREENWOOD, MS 38930-7343
(662) 453-9173
(662) 455-4933
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1347
MS
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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