Individual
AMBERLY CRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5411 I 55 N, JACKSON, MS 39206-3616
(601) 940-5906
(601) 510-9012
Mailing address
114 TALONS TRL, MADISON, MS 39110-6019
(601) 940-5906
(601) 510-9012
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA2715
MS
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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