Individual
KATHERINE N MCCARDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
69 PINE TREE RD, ELLISVILLE, MS 39437-5770
(601) 606-0061
Mailing address
69 PINE TREE RD, ELLISVILLE, MS 39437-5770
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
210174
TX
225X00000X
Occupational Therapist
Primary
OT2757
MS
Other
Enumeration date
07/03/2008
Last updated
03/17/2018
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