Individual
BETSY NEILL-IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
103 PENINSULA DR, LELAND, MS 38756-3019
(662) 428-7572
Mailing address
103 PENINSULA DR, LELAND, MS 38756-3019
(662) 428-7572
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1508
MS
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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