Organization
MK THERAPY CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET COLEMAN KILLGORE (OWNER)
(870) 278-4332
Entity
Organization
Contact information
Practice address
2228 DELLA ST, HERNANDO, MS 38632-6976
(870) 278-4332
Mailing address
2228 DELLA ST, HERNANDO, MS 38632-6976
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT2016-016
AR
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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