IndividualActive
Amberly Crain, COTA
NPI 1336503853 · Occupational Therapy Assistant · Jackson, MS
Provider details
- NPI number
- 1336503853
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- TA2715 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5411 I 55 N
Jackson, MS 39206-3616
Phone: (601) 940-5906
Fax: (601) 510-9012
Approximate (ZIP-level) locationGet directions
Mailing address
114 Talons Trl
Madison, MS 39110-6019
Registry dates
- Enumerated
- 2016-04-11
- Last updated
- 2016-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.