CRYSTAL GORMAN
Occupational Therapy at Maryland Ave, Mccomb, MS

License number
Mississippi 209625
Category
Restorative Service Providers
Type
Occupational Therapy Assistant
Address
Address 2
206 Maryland Ave, Mccomb, MS 39648
600 Acr 3721, Palestine, TX 75803
Phone
(601) 250-4815
National Provider ID: 1699958173
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CRYSTAL GORMAN at bizstanding.com

HOSEA & CRYSTAL GORMAN, INC

3814 W Fm 320, Palestine, TX 75803

Registration:
Oct 21, 2014
State ID:
0802085904
Business type:
Domestic For-Profit Corporation
Directors:
Crystal G. Gorman (Director),Hosea L. Gorman (Director)
Agent:
Crystal G Gorman,3814 W Fm 320, Palestine, TX 75803 (Physical)
TIN:
32055482528

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