Organization
WESSON THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN WESSON OTR/L, CHT (OWNER, OCCUPATIONAL THERAPIST)
(662) 872-9156
Entity
Organization
Contact information
Practice address
1101 E 12TH ST, CORINTH, MS 38834-2658
(662) 872-9156
Mailing address
1101 E 12TH ST, CORINTH, MS 38834-2658
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT2500
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346557824
—
MS
Enumeration date
08/20/2017
Last updated
08/20/2017
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