Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NASH BURNSIDE, COTA
Active Sole ProprietorNASH BURNSIDE, COTA is a Occupational Therapy Assistant healthcare provider located in LELAND, Mississippi. NPI 1326561895 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · LELAND, MS
Registration Details
- NPI Number
- 1326561895
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2017 (9.0397815099761 yrs)
- Last Updated
- Jul 21, 2022
- License
-
TA2717 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 BAKER BLVDLELAND, MS, 387563401Browse MS providers · Browse ZIP 38756
- Phone
- 6626864121
- Fax
- 6626864770
- 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.