Individual
MRS. ELLISANN CLAIRE MCINNIS FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
519 BROOKMAN DR, BROOKHAVEN, MS 39601-2326
(601) 833-2881
Mailing address
712 PENNSYLVANIA AVE, MCCOMB, MS 39648-4743
(601) 551-6453
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3553
MS
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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