NPI 1235602392

Baileigh Bennington, COTAL

Practitioner Occupational Therapy Assistant Southaven, MS

Practice location

Address: 83 Airways Pl, Southaven, MS 38671-5885
Phone: (662) 349-8787
Fax: (662) 349-8757

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence TA3607 (MS)

Other Occupational Therapy Assistant providers in Mississippi →

Registry record

NPI: 1235602392
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jan 2019
Record last updated: 10 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.