IndividualActive
Anthony Ezell, COTAL
NPI 1295851970 · Occupational Therapy Assistant · Meadville, MS
Provider details
- NPI number
- 1295851970
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTAL
- Sex
- Male
- Sole proprietor
- No
- License
- TA1041 (MS)
Practice location
113 Main St.
Meadville, MS 39653
Phone: (601) 384-1898
Fax: (601) 384-1878
Mailing address
9230 Berrytown Rd Se
Meadville, MS 39653-9035
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.