Individual provider · Type 1 NPI

Anthony Jay Ezell, COTAL

Occupational Therapy Assistant · Meadville, MS

NPI number 1295851970 Active

Practice location

113 Main St.
Meadville, MS 39653

Fax (601) 384-1878

Mailing address

9230 Berrytown Rd SE
Meadville, MS 39653-9035

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XTA1041 (MS)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1295851970

Anthony Jay Ezell, COTAL's National Provider Identifier is 1295851970, issued on Mar 22, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Meadville, MS. The record was last updated on Jul 8, 2007.