Individual
MRS. JULIE MANNING PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
712 N CHRISMAN AVE, SUITE C, CLEVELAND, MS 38732-2107
(662) 843-3004
(662) 843-0820
Mailing address
712 N CHRISMAN AVE, SUITE C, CLEVELAND, MS 38732-2107
(662) 843-3004
(662) 843-0820
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0355
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117850
—
MS
Enumeration date
07/19/2006
Last updated
07/09/2007
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