Individual
MASSEY BUCKNER MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 E COUNTY LINE RD STE E, RIDGELAND, MS 39157-1928
(601) 853-8747
(601) 898-4761
Mailing address
199 N BROOKMOORE DR, COLUMBUS, MS 39705-2024
(662) 327-6705
(662) 327-6760
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3422
MS
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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