Individual
MR. LARRY KEITH SALTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
12 PROFESSIONAL PKWY, RIDGELAND, MS 39157-4113
(601) 672-3611
Mailing address
12 PROFESSIONAL PKWY, RIDGELAND, MS 39157-4113
(601) 672-3611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0542
MS
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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