NPI 1033682950

Cozetta Marie McMillian, OTDOTRL

Practitioner Occupational Therapist Jackson, MS

Practice location

Address: 107 Meadow Ln, Jackson, MS 39212-3525
Phone: (601) 209-6453

Registered specialties (5)

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 4575 (SC)

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Registry record

NPI: 1033682950
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jan 2019
Record last updated: 3 Jan 2019

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.