Individual
MS. MARSHA DIANE BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
23 MASON ST, LAUREL, MS 39440-4437
(601) 399-0534
Mailing address
147 LONGVIEW DR, LAUREL, MS 39443-2924
(601) 763-3475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1217
MS
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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