Organization
MISSISSIPPI STATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANIE CIRLOT-NEW (DIRECTOR)
(662) 325-1028
Entity
Organization
Contact information
Practice address
326 HARDY ROAD, MISSISSIPPI STATE, MS 39762-9736
(662) 325-1028
Mailing address
326 HARDY ROAD, BOX 9736, MISSISSIPPI STATE, MS 39762-9736
(662) 325-1028
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OT2147
MS
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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