Individual
CORLEY HOGUE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1411 HIGHWAY 389, STARKVILLE, MS 39759-8451
(662) 769-4888
Mailing address
1411 HIGHWAY 389, STARKVILLE, MS 39759-8451
(662) 769-4888
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3816
MS
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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