Individual
MRS. LAUREN TONOS STAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
207 W JACKSON ST STE 2, RIDGELAND, MS 39157-2355
(601) 362-0859
Mailing address
533 PENNSYLVANIA AVE, JACKSON, MS 39216-3212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3808
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871100750
—
MS
Enumeration date
09/25/2020
Last updated
08/02/2021
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