IndividualActive
Courtney Killen
NPI 1821380239 · Occupational Therapy Assistant · Philadelphia, MS
Provider details
- NPI number
- 1821380239
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- TA2441 (MS)
Practice location
1120 E Main St
Suite 1
Philadelphia, MS 39350-2300
Phone: (601) 663-1275
Mailing address
4109 Highway 98 W
Summit, MS 39666-9132
Registry dates
- Enumerated
- 2011-05-04
- Last updated
- 2013-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.