Individual
ELIZABETH MYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1061 KORI LN, SUMMIT, MS 39666-8205
(601) 395-1091
Mailing address
1061 KORI LN, SUMMIT, MS 39666-8205
(601) 395-1091
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0696
MS
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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