IndividualActive
Baileigh Bennington, COTA/L
NPI 1235602392 · Occupational Therapy Assistant · Southaven, MS
Provider details
- NPI number
- 1235602392
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- TA3607 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
83 Airways Pl
Southaven, MS 38671-5885
Phone: (662) 349-8787
Fax: (662) 349-8757
Approximate (ZIP-level) locationGet directions
Mailing address
83 Airways Pl
Southaven, MS 38671-5885
Registry dates
- Enumerated
- 2019-01-10
- Last updated
- 2019-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.