Organization
PERFORMING ARTS CENTER
Active
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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