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Individual

LISA RICHARDSON HESSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR-L

Contact information

Practice address
722 W CANAL ST, PICAYUNE, MS 39466-3900
(601) 799-4065
(601) 799-4064
Mailing address
722 W CANAL ST, PICAYUNE, MS 39466-3900
(601) 799-4065
(601) 799-4064

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1528
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00432279
MS
Enumeration date
02/28/2007
Last updated
12/26/2007
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