Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairuza Zan Trust

Organization Occupational Therapist · NPI 1508449372

Fairuza Zan Trust is an Occupational Therapist in Olive Branch, Mississippi. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

6569 Highway 305 N
Olive Branch, MS 38654-3044
Phone: (901) 870-1246
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1508449372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Iris Gray — Ceo · (901) 870-1246
NPI enumeratedApril 29, 2021
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023
Mailing address6569 Highway 305 N, Olive Branch, MS 38654-3044

Other providers in Olive Branch