Hodges, Mylissa

Hodges, Mylissa is an sole proprietor health care provider with primary practice located at 310 Autumn Ridge Dr , Kosciusko MS 39090-3242. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Hodges, Mylissa can be contacted via phone (662) 289-3499.

Contact Information

Primary practice address
310 Autumn Ridge Dr Kosciusko MS 39090-3242
Phone: (662) 289-3499
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT0682 Mississippi

Profile Details

NPI number 1265729636
LBN Legal business name Hodges, Mylissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2011
Last updated Jul 6th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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