Individual
MARRIETA FELICITAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 CHASE ST, BYHALIA, MS 38611-7395
(662) 838-3670
(662) 838-3740
Mailing address
111 CHASE ST, BYHALIA, MS 38611-7395
(662) 838-3670
(662) 838-3740
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2187
MS
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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