MR. Anthony Jay Ezell, COTAL
NPI #1295851970 in Meadville, Mississippi
Provider Information
- NPI Number
- 1295851970
- Entity Type
- Individual
- Name
- MR. Anthony Jay Ezell, COTAL
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTAL
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 113 MAIN ST.
- City
- Meadville
- State
- Mississippi
- ZIP Code
- 39653
- Phone
- (601) 384-1898
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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