NPI 1740448802

Johnnie Mae Owens, CNACHILDCARECREDE

Practitioner Orthotic Fitter Clinton, MS

Practice location

Address: 801 E Northside Dr Suite D, Clinton, MS 39056-3663
Phone: (601) 906-1024

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1740448802
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 May 2008
Record last updated: 21 Jul 2011

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.