Individual
CAELEY MYA CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5 E SOUTH ST, HERNANDO, MS 38632-2216
(662) 429-5271
Mailing address
3295 HUNTER RD N, SOUTHAVEN, MS 38672-8719
(225) 253-0317
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218636
TX
224Z00000X
Occupational Therapy Assistant
Primary
4093
MS
Other
Enumeration date
12/07/2024
Last updated
06/01/2026
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