NPI 1609240621

Creative Occupational Therapy Soultions1074212

Organisation Early Intervention Provider Agency Leland, MS

Practice location

Address: 103 Peninsula Dr, Leland, MS 38756-3019
Phone: (662) 428-7572

Authorised official

Name: Betsy Claire Neill-Irwin
Title: President
Phone: (662) 428-7572

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence OT1508 (MS)

Other Early Intervention Provider Agency providers in Mississippi →

Registry record

NPI: 1609240621
Entity type: Organization
NPI issued: 16 Nov 2015
Record last updated: 16 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.