Individual
EBONY LAPORSCHE FEARS ASHMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1227 PIN OAK DR, APT M4, FLOWOOD, MS 39232-9702
(662) 295-1932
Mailing address
1227 PIN OAK DR, APT M4, FLOWOOD, MS 39232-9702
(662) 295-1932
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3089
MS
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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