Provider Demographics
NPI:1316717945
Name:MCLAURIN, BRITTANY (COTA/L)
Entity type:Individual
Prefix:MISS
First Name:BRITTANY
Middle Name:
Last Name:MCLAURIN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 DUNBAR TRL
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MS
Mailing Address - Zip Code:39046-7051
Mailing Address - Country:US
Mailing Address - Phone:601-955-7341
Mailing Address - Fax:
Practice Address - Street 1:1035 W MAYES ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39213-6100
Practice Address - Country:US
Practice Address - Phone:601-955-7341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3980225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical RehabilitationGroup - Multi-Specialty