Individual
MRS. JONELLA HOMER LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
(601) 605-8869
Mailing address
83 RUGER RD, PETAL, MS 39465-5800
(601) 582-5832
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0211
MS
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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