OrganizationActive
A Focused Brain, LLC
NPI 1508125899 · Occupational Therapist · Ridgeland, MS
Provider details
- NPI number
- 1508125899
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Poe, Owner(601) 665-4254
- License
- OT0350 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6712 Old Canton Rd
Suite 5
Ridgeland, MS 39157-1205
Phone: (601) 665-4254
Approximate (ZIP-level) locationGet directions
Mailing address
6712 Old Canton Rd
Ridgeland, MS 39157-1205
Registry dates
- Enumerated
- 2012-05-08
- Last updated
- 2012-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.