Organization
CREATIVE OCCUPATIONAL THERAPY SOULTIONS1074212
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETSY CLAIRE NEILL-IRWIN MOT, OTR/L (PRESIDENT)
(662) 428-7572
Entity
Organization
Contact information
Practice address
103 PENINSULA DR, LELAND, MS 38756-3019
(662) 428-7572
Mailing address
103 PENINSULA DR, LELAND, MS 38756-3019
(662) 428-7572
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
OT1508
MS
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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