NPI 1104091099

Jennifer Rose Lee, COTA

Practitioner Occupational Therapy Assistant Ridgeland, MS

Practice location

Address: 711 Avignon Dr, Ridgeland, MS 39157-5120
Phone: (601) 605-6777
Fax: (601) 605-8869

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence TA2091 (MS)

Other Occupational Therapy Assistant providers in Mississippi →

Registry record

NPI: 1104091099
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2008
Record last updated: 23 Apr 2008

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.