Organization
PERFORMING ARTS CENTER
Active
Other names
We Rock the Senses
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY NICOLE MCNUTT (DIRECTOR)
(662) 316-0480
Entity
Organization
Contact information
Practice address
147 FAIRFIELD DR, NEW ALBANY, MS 38652-3107
(662) 534-2458
Mailing address
147 FAIRFIELD DR, NEW ALBANY, MS 38652-3107
(662) 534-2458
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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