Individual
MARIA ANNICE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 TYLER HOLMES DR, WINONA, MS 38967-1521
(662) 283-4114
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0349
MS
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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