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Organization

EDUCATION THERAPY SERVICES, INC

Active
Other names
ET Services
Organization subpart
No

Provider details

NPI number
Authorized official
ALVIN DALE GRIFFIN COTA/L (OWNER/OPERATOR)
(662) 871-0549
Entity
Organization

Contact information

Practice address
606 BELLE OAK LN, BRANDON, MS 39042-8101
(662) 871-0549
Mailing address
PO BOX 16107, JACKSON, MS 39236-6107
(662) 871-0549

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
MS
225100000X
Physical Therapist
MS
225200000X
Physical Therapy Assistant
MS
225X00000X
Occupational Therapist
MS

Other

Enumeration date
04/19/2016
Last updated
04/19/2016
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