Individual
COURTNEY BAGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-1000
(601) 968-1000
Mailing address
139 COPPER RIDGE LN, FLORENCE, MS 39073-4701
(601) 503-0916
(601) 503-0916
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA2342
MS
Other
Enumeration date
04/15/2011
Last updated
11/07/2011
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