Individual
MRS. HOLLY MCGREGOR RAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA-L
Contact information
Practice address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
(601) 605-8869
Mailing address
8051 HIGHWAY 493, MERIDIAN, MS 39305-9284
(601) 297-8850
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA1803
MS
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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