is a Occupational Therapy Assistant in Ridgeland, Mississippi. practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for is 1871643965. The last update date is .
's current location address is 711 Avignon Dr, Ridgeland, Mississippi. You can contact this provider via phone number 6016056777 and fax number 6016058869. The mailing address for is 711 Avignon Dr, Ridgeland, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 711 Avignon Dr, Ridgeland, Mississippi |
| Phone Number | 6016056777 |
| Fax Number | 6016058869 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1871643965 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 711 Avignon Dr |
|---|---|
| City | Ridgeland |
| State | Mississippi (MS) |
| Post Code | 391575120 |
| Phone Number | 6016056777 |
| Fax Number | 6016058869 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | TA1660 |
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Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
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