Individual
EMMA MCLEAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3964 GOODMAN RD E STE 105, SOUTHAVEN, MS 38672-8711
(662) 932-4625
(662) 932-4626
Mailing address
3964 GOODMAN RD E STE 105, SOUTHAVEN, MS 38672-8711
(662) 932-4625
(662) 932-4626
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4107
MS
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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