Individual
MARLEE SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
200 KNIGHT DR RM 230, SALTILLO, MS 38866-9182
(662) 840-0535
(628) 427-9156
Mailing address
PO BOX 3592, TUPELO, MS 38803-3592
(662) 840-0535
(662) 842-7915
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3675
MS
Other
Enumeration date
09/19/2019
Last updated
06/22/2021
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