Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BAILEIGH BENNINGTON, COTA/L
Active Sole ProprietorBAILEIGH BENNINGTON, COTA/L is a Occupational Therapy Assistant healthcare provider located in SOUTHAVEN, Mississippi. NPI 1235602392 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1235602392
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 10, 2019 (7.4043873639011 yrs)
- Last Updated
- Jan 10, 2019
- License
-
TA3607 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
83 AIRWAYS PLSOUTHAVEN, MS, 386715885Browse MS providers · Browse ZIP 38671
- Phone
- 6623498787
- Fax
- 6623498757
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in SOUTHAVEN, MS
| Name | Credential | NPI |
|---|---|---|
| KARA CLINE | COTA/L | 1770987935 |
| CRYSTAL LAWRENCE | COTA/L | 1689069734 |
| ANNA TEETZ | COTA/L | 1649789827 |
| ANNA KATHRYN MICHELL | COTA/L | 1033626205 |
| JOLANDRIA NEWMY | — | 1679137616 |
| SAMANTHA PHILLIPS | COTA/L | 1689340960 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.