MEDICARE: MS. JESSICA SINGLETON COTA/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	OT3920	MS

General Provider Information

NPI Number	:	1104225655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JESSICA SINGLETON COTA/L

Provider Business Mailing Address
First Line	:	411 DOGWOOD PL
Second Line	:
City	:	FLOWOOD
State	:	MS
Zip	:	39232-8623
Country	:	US
Telephone Number	:	601-832-4918
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 DOGWOOD PL
Second Line	:
City	:	FLOWOOD
State	:	MS
Zip	:	39232-8623
Country	:	US
Telephone Number	:	601-832-4918
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2014
Last Update Date	:	12/09/2025

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