Individual
CARLY RACHAEL LOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1199 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-9363
Mailing address
1199 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA3727
MS
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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