Individual
TERI BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
120 VETERANS DR, OXFORD, MS 38655-3578
(662) 259-5516
(662) 259-5517
Mailing address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1238
MS
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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