Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANTHONY JAY EZELL, COTAL
ActiveMR. ANTHONY JAY EZELL, COTAL is a Occupational Therapy Assistant healthcare provider located in MEADVILLE, Mississippi. NPI 1295851970 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MEADVILLE, MS
Registration Details
- NPI Number
- 1295851970
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2007 (19.354736804444 yrs)
- Last Updated
- Jul 8, 2007
- License
-
TA1041 (MS)
Practice Information
- Address
-
113 MAIN ST.MEADVILLE, MS, 39653Browse MS providers · Browse ZIP 39653
- Phone
- 6013841898
- Fax
- 6013841878
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.