IndividualActive
Amanda Bennett, COTA/L
NPI 1497948889 · Occupational Therapy Assistant · Jackson, MS
Provider details
- NPI number
- 1497948889
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- TA1049 (MS)
Practice location
13 Northtown Dr Suite 110
Trinity Rehab
Jackson, MS 39211
Phone: (601) 206-9195
Fax: (601) 957-8391
Mailing address
Po Box 315
Ridgeland, MS 39158
Registry dates
- Enumerated
- 2007-08-20
- Last updated
- 2007-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.