Individual
CHASSICA METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10628 HIGHWAY 45A, PRAIRIE, MS 39756-9787
(662) 436-7204
Mailing address
10628 HIGHWAY 45A, PRAIRIE, MS 39756-9787
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212819
TX
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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