Individual
MARY JANE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 S KINGSMILL, HATTIESBURG, MS 39402-7835
(601) 551-1553
Mailing address
20 S KINGSMILL, HATTIESBURG, MS 39402-7835
(601) 551-1553
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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