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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARTHA MARIE WILLOUGHBY, MS, OT

Active Sole Proprietor

MARTHA MARIE WILLOUGHBY, MS, OT is a Pediatric Occupational Therapist healthcare provider located in POPLARVILLE, Mississippi. NPI 1982021515 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · POPLARVILLE, MS

Registration Details

NPI Number
1982021515
Provider Type
Individual
Gender
Female
NPI Issued
Mar 20, 2014 (12.370402306681 yrs)
Last Updated
Mar 20, 2014
Licenses
OT2125 (MS)
OT2125 (MS)
Sole Proprietor
Yes

Practice Information

Address
109 HONEYSUCKLE AVE
POPLARVILLE, MS, 394702009
Browse MS providers · Browse ZIP 39470
Phone
6019165741
Primary Specialty
Pediatric Occupational Therapist
225XP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.