Individual
FELICIA MUKESH KAPOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7579 WISTERIA DR, OLIVE BRANCH, MS 38654-6982
(901) 468-3667
Mailing address
1501 COLONIAL DR, WEST MEMPHIS, AR 72301-2496
(870) 822-2026
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3423
TN
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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