Individual
MARY ANN ROTH-WYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
55 SERGEANT PRENTISS DR, SUITE 8, NATCHEZ, MS 39120-4782
(601) 446-8764
(601) 446-8745
Mailing address
55 SGT PRENTISS DR, SUITE 8, NATCHEZ, MS 39120-4782
(601) 446-8764
(601) 446-8745
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2374
MS
Other
Enumeration date
01/23/2009
Last updated
11/20/2009
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