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

Connie Fowlkes, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1386005478

Connie Fowlkes, COTA/L is an Occupational Therapy Assistant in Columbus, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

310 Emerald Dr
Columbus, MS 39702-5526
Phone: (662) 244-8823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence TA3116 (MS)

Record details

NPI number1386005478
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedMarch 16, 2016
Last updated in NPPESMarch 16, 2016

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