Individual
MR. JOHN LLOYD MASSEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5199
(601) 362-4471
Mailing address
12684- TWO LAKE LANE, COLLINSVILLE, MS 39325
(601) 527-4488
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1081
MS
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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