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Samantha Phillips, COTA/L

Occupational Therapy Assistant in Southaven, MS. Individual provider (NPI-1).

NPI number1689340960
StatusActive
Last updated in NPPESAug 18, 2021

Details

NPI
1689340960
Entity type
Individual (NPI-1)
Name
Samantha Phillips
Credential
COTA/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 18, 2021
Certification date
Aug 18, 2021
Last updated
Aug 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantOTA-3856MSYes

Practice location

83 Airways Pl
Southaven, MS 38671-5885

Phone 662-349-8787 · Fax 662-349-8757

Mailing address

83 Airways Pl
Southaven, MS 38671-5885

Phone 662-349-8787 · Fax 662-349-8757

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Other Occupational Therapy Assistant providers in Southaven, MS

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