Individual
AMY MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10 MEDICAL BLVD, HATTIESBURG, MS 39401-7230
(601) 264-0357
Mailing address
10 MEDICAL BLVD, HATTIESBURG, MS 39401-7230
(601) 264-0357
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1943
MS
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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