Individual
EMILY REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
613 CASTLEWOODS BLVD, BRANDON, MS 39047-7357
(601) 668-8477
Mailing address
613 CASTLEWOODS BLVD, BRANDON, MS 39047-7357
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA2981
MS
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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