Individual
MICHELLE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
907 E WALKER ST, FULTON, MS 38843-8954
(662) 862-6140
(662) 862-6143
Mailing address
907 E WALKER ST, FULTON, MS 38843-8954
(662) 862-6140
(662) 862-6143
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA2286
MS
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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