Individual
BRANDILYN P OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 W JACKSON ST STE 1D, RIDGELAND, MS 39157-2428
(601) 853-9747
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-0943
MS
225XP0200X
Pediatric Occupational Therapist
0943
MS
Other
Enumeration date
05/24/2024
Last updated
10/24/2024
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