Individual
TANNER LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
8905 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-4419
(228) 215-0521
Mailing address
15235 ONEAL RD, GULFPORT, MS 39503-3221
(601) 672-3707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3504
MS
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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