Jennifer Ros Craig, OTR/L
Occupational Therapist, Pediatrics in Madison, MS. Individual provider (NPI-1).
NPI number1003589896
StatusActive
Last updated in NPPESJul 27, 2021
Details
- NPI
- 1003589896
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Ros Craig
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2021
- Certification date
- Jul 27, 2021
- Last updated
- Jul 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | OT1361 | MS | Yes |
Practice location
7712 Old Canton RdMadison, MS 39110-9299
Phone 601-427-5775 · Fax 601-206-0668
Mailing address
5110 Canton Heights DrJackson, MS 39211-4515
Phone 601-750-4493
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