NPI 1679025928

Sandy Heath Cockrell

Practitioner Occupational Therapy Assistant Kosciusko, MS

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

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 2086 (MS)

Other Occupational Therapy Assistant providers in Mississippi →

Registry record

NPI: 1679025928
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Nov 2016
Record last updated: 2 Nov 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.