Individual
MARY RAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 HIGHWAY 389, STARKVILLE, MS 39759-8451
(662) 769-4888
Mailing address
509 MALLORY LN, STARKVILLE, MS 39759-7101
(662) 379-6598
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3820
MS
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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