Jay Evan Walker COTA-L

NPI 1306996996 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1306996996
Gender Male
Enumeration Date 01/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
RIDGELAND MS, 39157-5120, US
Phone (601) 605-6777
Fax (601) 605-8869
Business Location
16408 HIGHWAY 80
HICKORY MS, 39332-3332, US
Phone (601) 646-6049
Taxonomy Code 224Z00000X
License State Mississippi
License Number TA1619
Remove 1306996996 NPI Number

According to our database, Mr. Jay Evan Walker COTA-L NPI is 1306996996, taxonomy code is 224Z00000X and license number is TA1619, license state is located at Mississippi. Jay Evan Walker COTA-L physically located at 711 Avignon Dr, Ridgeland MS, 39157-5120. NPI Number Jay Evan Walker COTA-L has the Individual type.

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1306996996 NPI number is provided on an as is basis without warranty of any kind. 1306996996 is maintained by the National Plan & Provider Enumeration System. The contents of Jay Evan Walker COTA-L are for informational purposes only.