Individual
MISS ALLISON CAROL MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-1000
Mailing address
1501 W FLOWERS RD, TERRY, MS 39170-9795
(601) 405-9691
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3886
MS
Other
Enumeration date
07/24/2022
Last updated
07/24/2022
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