Individual provider · Type 1 NPI
Jennifer Emily Bass, COTA/L
Specialist · Mantachie, MS
NPI number
1497063085
Active
Practice location
275 Morning View Lane
Mantachie, MS 38855-7096
Mailing address
275 Morningview Ln
Mantachie, MS 38855-7096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | TA2283 (MS) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1497063085
Jennifer Emily Bass, COTA/L's National Provider Identifier is 1497063085, issued on Sep 17, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mantachie, MS. The record was last updated on Sep 17, 2010.