Individual
LYLA BROOKE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
400 VETERANS AVE # 135, BILOXI, MS 39531-2410
(228) 523-5789
(228) 523-5789
Mailing address
5013 WEEMS ST, MOSS POINT, MS 39563-2657
(228) 475-0570
(228) 475-0570
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
52642
MS
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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