IndividualActive
Crystal Lawrence, COTA/L
NPI 1689069734 · Occupational Therapy Assistant · Southaven, MS
Provider details
- NPI number
- 1689069734
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- TA2816 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7805 Southcrest Pkwy
Southaven, MS 38671-4741
Phone: (228) 324-6876
Approximate (ZIP-level) locationGet directions
Mailing address
5365 Bradley Ln
Southaven, MS 38671-6946
Registry dates
- Enumerated
- 2015-04-04
- Last updated
- 2015-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.