| Memorie Finnie, | |
| 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 | |
| (662) 289-3499 | |
| Not Available | 
| Full Name | Memorie Finnie | 
|---|---|
| Gender | Female | 
| Speciality | Occupational Therapist | 
| Location | 310 Autumn Ridge Dr, Kosciusko, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1952653933 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT1857 (Mississippi) | Primary | 
| Provider Name | Lighthouse Therapy Llc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1801367883 PECOS PAC ID: 8022350727 Enrollment ID: O20190429002824 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Memorie Finnie, 4109 Highway 98 W, Summit, MS 39666-9132 Ph: () - | Memorie Finnie, 310 Autumn Ridge Dr, Kosciusko, MS 39090-3242 Ph: (662) 289-3499 | 
| Sophie Champagne Black,  Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 Autumn Ridge Dr, Kosciusko, MS 39090 Phone: 662-289-3499 | |
| Sarah Putt, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 130 Parkway Plz, Kosciusko, MS 39090 Phone: 662-289-3588 Fax: 662-289-3533 | |
| Imani Finley, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 Autumn Ridge Dr, Kosciusko, MS 39090 Phone: 662-739-6162 Fax: 662-739-6163 | |
| Mrs. Tanya L Steen, O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 130 Parkway Plaza, Kosciusko, MS 39090 Phone: 662-289-3488 Fax: 662-289-3433 | |
| Mylissa Hodges,  Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 310 Autumn Ridge Dr, Kosciusko, MS 39090 Phone: 662-289-3499 | |
| Imani Community Outreach Center Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 E Jefferson St, Kosciusko, MS 39090 Phone: 662-289-7676 | |
| Sheila Burns,  Occupational Therapist Medicare: Medicare Enrolled Practice Location: 340 Highway 12 W, Kosciusko, MS 39090 Phone: 662-289-3588 Fax: 662-289-3533 |