NPI 1003634098

Tyler Beall, COTA

Practitioner Occupational Therapy Assistant Wiggins, MS

Practice location

Address: 14 C E Morrison Ln, Wiggins, MS 39577-8949
Phone: (601) 325-6390

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-3791 (MS)

Other Occupational Therapy Assistant providers in Mississippi →

Registry record

NPI: 1003634098
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Sep 2024
Record last updated: 30 Sep 2024

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.