Individual
AMANDA LEE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2319 HIGHWAY 145, SALTILLO, MS 38866-9199
(662) 869-9980
(662) 869-9970
Mailing address
2416 HIGHWAY 45 N, COLUMBUS, MS 39705-1320
(662) 327-6705
(662) 327-6760
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1522
MS
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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