IndividualActive
William Myers, COTA/L
NPI 1952608911 · Contractor · Benton, MS
Provider details
- NPI number
- 1952608911
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- COTA/L
- Sex
- Male
- Sole proprietor
- Yes
- License
- TA2243 (MS)
Specialties & taxonomies
Other Service Providers
Practice location
1449 Sunny Lane Rd
Benton, MS 39039-9400
Phone: (662) 571-2464
Approximate (ZIP-level) locationGet directions
Mailing address
1449 Sunny Lane Rd
Benton, MS 39039-9400
Registry dates
- Enumerated
- 2011-02-26
- Last updated
- 2011-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.