NPI 1275293441

Jennifer Costley, COTA

Practitioner Occupational Therapy Assistant Southaven, MS

Practice location

Address: 3807, Southaven, MS 38672
Phone: (714) 345-3268
Mailing address: 3807 Cobblewood Dr, Southaven, MS 38672-6557

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X

Other Occupational Therapy Assistant providers in Mississippi →

Registry record

NPI: 1275293441
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2021
Record last updated: 29 Dec 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.