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Individual

MRS. KELLIE THOMPSON HUGHES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1528 S 11TH ST, OCEAN SPRINGS, MS 39564-9543
(228) 872-3042
(228) 872-3042
Mailing address
1528 S 11TH ST, OCEAN SPRINGS, MS 39564-9543
(228) 872-3042
(228) 872-3042

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00119909
MS
05
06733797
MS
Enumeration date
07/13/2006
Last updated
07/09/2007
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