Individual
MERRITT B VISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 MELODY LN, LEAKESVILLE, MS 39451-6530
(601) 394-2331
Mailing address
1300 MELODY LN, LEAKESVILLE, MS 39451-6530
(601) 394-2331
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-4125
MS
Other
Enumeration date
05/09/2024
Last updated
06/12/2024
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