Individual
MS. JASMINE CHASTITY PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
27910 MS-18, HAZLEHURST, MS 39083
(601) 574-7388
(601) 894-3676
Mailing address
4050 WARNER DR, BRANDON, MS 39042-8537
(601) 941-9636
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4008
MS
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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