Kellie Sasser

NPI #1164791364 in Hattiesburg, Mississippi

Provider Information

NPI Number: 1164791364
Entity Type: Individual
Name: Kellie Sasser
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 19, 2011
Last Updated: Dec 19, 2011

Practice Location

Address: 10 MEDICAL BLVD
City: Hattiesburg
State: Mississippi
ZIP Code: 39401-7230
Phone: (601) 543-0310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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