Individual
MRS. MEGAN HARRISON BENAVIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3144 MOUNT PLEASANT RD, FULTON, MS 38843-9694
(662) 523-3597
Mailing address
3144 MOUNT PLEASANT RD, FULTON, MS 38843-9694
(662) 523-3597
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT2317
MS
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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