Organization
INSIDE OUT OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY CHILES (CREDENTIALING SPECALIST)
(601) 618-5120
Entity
Organization
Contact information
Practice address
106 W FRONT ST, IUKA, MS 38852-2325
(601) 218-5703
Mailing address
PO BOX 993, IUKA, MS 38852-0993
(601) 218-5703
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MS
261QP2000X
Physical Therapy Clinic/Center
—
MS
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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