Individual
MRS. ANNA KRISTINE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
502 BATTLEGROUND DRIVE, IUKA, MS 38852-1311
(662) 423-2103
(662) 423-2988
Mailing address
502 BATTLEGROUND DRIVE, IUKA, MS 38852-1311
(662) 423-2103
(662) 423-2988
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT2341
MS
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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