Most Relevant Information
Provider Data
| NPI Number: | 1003589896 |
| Provider Name: | JENNIFER ROS CRAIG OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0200X |
| Specialty: | Occupational Therapist |
| License Number: | OT1361 |
Most Important Dates
| Enumeration Date: | 07/27/2021 |
| Last Updated: | 07/27/2021 |
Provider Practice Location
7712 OLD CANTON RD
MADISON
MS
391109299
Practice Location Phone/Fax
| Phone: | 6014275775 |
| Fax: | 6012060668 |
Provider Mailing Location
5110 CANTON HEIGHTS DR
JACKSON
MS
392114515
Provider Mailing Phone/Fax
| Phone: | 6017504493 |
| Fax: |