NPI 1043769458

Karly Mitchell Slade, COTAL

Practitioner Occupational Therapy Assistant Picayune, MS

Practice location

Address: 311 N Main St, Picayune, MS 39466-3313
Phone: (601) 799-4065
Fax: (601) 620-4117
Mailing address: 75 Dupont Harts Chapel Rd, Poplarville, MS 39470-4014

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence TA3243 (MS)

Other Occupational Therapy Assistant providers in Mississippi →

Registry record

NPI: 1043769458
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2016
Record last updated: 26 Sep 2016

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.