Individual
CODY L POUNDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L, CHT
Contact information
Practice address
670 LEIGH DR, COLUMBUS, MS 39705-3014
(662) 328-1012
(662) 328-1507
Mailing address
670 LEIGH DR, COLUMBUS, MS 39705-3014
(662) 328-1012
(662) 328-1507
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT-3078
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01250354
—
MS
01
—
OT3078
MS OT LICENSE
MS
Enumeration date
06/22/2015
Last updated
02/10/2022
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