IndividualActive
Carol Johnson, COTA
NPI 1558407635 · Occupational Therapy Assistant · Ridgeland, MS
Provider details
- NPI number
- 1558407635
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- TA1918 (MS)
Practice location
711 Avignon Dr
Ridgeland, MS 39157-5120
Phone: (601) 605-6777
Fax: (601) 605-8869
Mailing address
225 Bradford Pl
Richland, MS 39218-9690
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2008-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.