Individual
ASHLEY FEAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7805 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4741
(662) 349-7500
Mailing address
159 ROSEMARY DR APT 4, SOUTHAVEN, MS 38671-3975
(205) 837-2646
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3492
MS
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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