Allie House

NPI #1386203362 in Forest, Mississippi

Provider Information

NPI Number: 1386203362
Entity Type: Individual
Name: Allie House
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Jun 12, 2019
Last Updated: Jun 12, 2019

Practice Location

Address: 1129 HIGHWAY 35 S STE 2
City: Forest
State: Mississippi
ZIP Code: 39074-8829
Phone: (601) 469-1001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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