IndividualActive
Alan Bryant, COTA-L
NPI 1376693127 · Occupational Therapy Assistant · Ridgeland, MS
Provider details
- NPI number
- 1376693127
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA-L
- Sex
- Male
- Sole proprietor
- Yes
- License
- TA1912 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
711 Avignon Dr
Ridgeland, MS 39157-5120
Phone: (601) 605-6777
Fax: (601) 605-8869
Approximate (ZIP-level) locationGet directions
Mailing address
65 Powell Rd
Columbia, MS 39429-9634
Registry dates
- Enumerated
- 2007-01-12
- 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.