Individual
TERRI PEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1130 STATELINE RD E STE D, SOUTHAVEN, MS 38671-8701
(662) 536-6884
Mailing address
1130 STATELINE RD E STE D, SOUTHAVEN, MS 38671-8701
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4190
MS
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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