Individual
KATHERINE WILLOUGHBY CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
157 BUILDING #27, WHITFIELD, MS 39193
(601) 607-1357
(601) 607-1355
Mailing address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3337
MS
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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