Individual
ANGELA L CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
718 WHIPPOORWILL DR, BRANDON, MS 39047-7375
(601) 720-2631
Mailing address
718 WHIPPOORWILL DR, BRANDON, MS 39047-7375
(601) 720-2631
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 2322
MS
Other
Enumeration date
11/24/2010
Last updated
09/02/2011
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