Individual
JORDYN BALEIGH GOOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
950 E COUNTY LINE RD STE A, RIDGELAND, MS 39157-1928
(601) 308-5117
Mailing address
PO BOX 484, BUDE, MS 39630-0484
(601) 757-1887
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3883
MS
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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