Individual
MARY LAUREN TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 362-8776
Mailing address
969 LAKELAND DR, JACKSON, MS 39216-4606
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA2559
MS
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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