Organization
BRIGHTER SKIES THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARAH A MANNERY MSOTR/L (OCCUPATIONAL THERAPIST/OWNER)
(601) 259-8517
Entity
Organization
Contact information
Practice address
5760 I 55 N STE 300, JACKSON, MS 39211-2651
(601) 259-8517
Mailing address
6208 FERNCREEK DR, JACKSON, MS 39211-2003
(601) 259-8517
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1714
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00835524
—
MS
Enumeration date
01/13/2014
Last updated
01/13/2014
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