IndividualActive
Cameron Walley, COTA
NPI 1417675919 · Occupational Therapy Assistant · Laurel, MS
Provider details
- NPI number
- 1417675919
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- OTA-4085 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2118 Sandy Ln
Laurel, MS 39443-9087
Phone: (601) 342-2923
Fax: (601) 255-8623
Approximate (ZIP-level) locationGet directions
Mailing address
7318 Union Rd
Richton, MS 39476-7813
Registry dates
- Enumerated
- 2022-08-19
- Last updated
- 2025-09-08
- Certified
- 2025-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.