Individual
MR. GREGORY ALLEN GARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
416 HUNTINGTON DR, JACKSON, MS 39272-4486
(601) 371-1800
Mailing address
416 HUNTINGTON DR, 865 NORTH ST, JACKSON, MS 39272
(601) 613-4911
(601) 948-6651
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA1475
MS
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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