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NPI Code Detail

MEDICARE: SAVANA SALLIS OTR/L

MEDICARE: SAVANA SALLIS OTR/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
1225X00000XOccupational TherapistOT4222MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548116114
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAVANA SALLIS OTR/L
Provider Business Mailing Address
First Line : PO BOX 30594
Second Line :
City : CHARLOTTE
State : NC
Zip : 28230-0594
Country : US
Telephone Number : 601-987-8202
Fax Number : 601-718-0293
Provider Business Practice Location Address
First Line : 104 BURNEY DR
Second Line :
City : FLOWOOD
State : MS
Zip : 39232-6621
Country : US
Telephone Number : 601-987-8202
Fax Number : 601-718-0293
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2026
Last Update Date : 05/11/2026

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Directions to “ SAVANA SALLIS OTR/L” Practice Location

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