Organization
A FOCUSED BRAIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA POE OT (OWNER)
(601) 665-4254
Entity
Organization
Contact information
Practice address
6712 OLD CANTON RD, SUITE 5, RIDGELAND, MS 39157-1205
(601) 665-4254
Mailing address
6712 OLD CANTON RD, SUITE 5, RIDGELAND, MS 39157-1205
(601) 665-4254
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0350
MS
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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