Madison Bohannon

NPI #1457198806 in Leakesville, Mississippi

Provider Information

NPI Number: 1457198806
Entity Type: Individual
Name: Madison Bohannon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 12, 2024
Last Updated: Jul 12, 2024

Practice Location

Address: 433 MAIN ST
City: Leakesville
State: Mississippi
ZIP Code: 39451-6502
Phone: (601) 394-4545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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