NPI 1508449372

Fairuza Zan Trust

Organisation Early Intervention Provider Agency Olive Branch, MS

Practice location

Address: 6569 Highway 305 N, Olive Branch, MS 38654-3044
Phone: (901) 870-1246

Authorised official

Name: Iris Gray
Title: Ceo
Phone: (901) 870-1246

Registered specialties (2)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Mississippi →

Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

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Registry record

NPI: 1508449372
Entity type: Organization
NPI issued: 29 Apr 2021
Record last updated: 8 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.