NPI 1023250594
Tarah Aurelia Mannery, OTRLMS
Practice location
- Address
- 731 Avignon Dr STE 4, Ridgeland, MS 39157
- Phone
- (601) 300-2624
- Fax
- (601) 510-3512
- Mailing address
- 6208 Ferncreek Dr, Jackson, MS 39211-2003
Registered specialties (3)
Occupational Therapist
Primary
Occupational Therapist
Occupational Therapist
Registry record
- NPI
- 1023250594
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Mar 2009
- Record last updated
- 31 Jul 2018
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.