Individual
MICHELLE LEIGH PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2015 HIGHPOINTE DR, BRANDON, MS 39042
(601) 824-8814
(601) 824-8816
Mailing address
PO BOX 426, MAGEE, MS 39111-0426
(601) 849-6440
(601) 849-7557
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2021
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MS
Enumeration date
09/06/2006
Last updated
07/08/2007
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