SearchMississippi224Z00000X

Stephanie King, COTA

NPI 1649495086 · on the registry since 2007 · sole proprietor

Practice

Address
711 Avigon Dr
Ridgeland, MS 39157
Phone
(601) 605-6777

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi