Individual
MABLE ANNETTE MCDONAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
673 BAYWOOD POINTE, MADISON, MS 39110-9573
(769) 257-1724
Mailing address
673 BAYWOOD POINTE, MADISON, MS 39110-9573
(769) 257-1724
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT0383
MS
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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