Individual
JESSICA CUEVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
9 BALMORAL DR STE A, POPLARVILLE, MS 39470-3344
(601) 746-5101
(601) 746-5102
Mailing address
PO BOX 956, POPLARVILLE, MS 39470-0956
(601) 746-5101
(601) 747-5102
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1729
MS
Other
Enumeration date
07/24/2020
Last updated
08/26/2020
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