IndividualActive
Angela Miller, COTA
NPI 1710289715 · Occupational Therapy Assistant · Ridgeland, MS
Provider details
- NPI number
- 1710289715
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- TA 1989 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
711 Avignon Dr
Ridgeland, MS 39157-5120
Phone: (601) 605-6777
Approximate (ZIP-level) locationGet directions
Mailing address
711 Avignon Dr
Ridgeland, MS 39157-5120
Registry dates
- Enumerated
- 2010-11-23
- Last updated
- 2010-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.