Individual
MRS. CATHERINE SUZANNE DEHAILLECOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
90A CLARK BLVD., TUPELO, MS 38804-2801
(662) 840-0535
(662) 842-7915
Mailing address
50811 OLD HIGHWAY 25 S, AMORY, MS 38821-8642
(662) 257-0507
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0207
MS
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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