Creative Occupational Therapy Soultions1074212
NPI #1609240621 in Leland, Mississippi
Provider Information
- NPI Number
- 1609240621
- Entity Type
- Organization
- Organization Name
- Creative Occupational Therapy Soultions1074212
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Nov 16, 2015
- Last Updated
- Nov 16, 2015
Practice Location
- Address
- 103 PENINSULA DR
- City
- Leland
- State
- Mississippi
- ZIP Code
- 38756-3019
- Phone
- (662) 428-7572
Authorized Official
- Name
- MRS. BETSY CLAIRE NEILL-IRWIN, MOT, OTR/L
- Title
- PRESIDENT
- Phone
- (662) 428-7572
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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