NPI 1124296686
Stefanie Carter, COTAL
Practice location
- Address
- 220 Highway 12 W, Kosciusko, MS 39090-3208
- Phone
- (318) 649-6181
- Mailing address
- 4109 Highway 98 W, Summit, MS 39666-9132
Registered specialties (2)
Occupational Therapy Assistant
Primary
Occupational Therapy Assistant
Registry record
- NPI
- 1124296686
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Feb 2008
- Record last updated
- 13 Apr 2021
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.