NPI 1013677392
The Site for Pediatric Occupational Therapy
Practice location
- Address
- 8950 Lorraine Rd STE C, Gulfport, MS 39503-4183
- Phone
- (228) 355-9946
- Mailing address
- 10545 W Landon Green Circle, Gulfport, MS 39503
Authorised official
- Name
- Jessica Carter
- Title
- Owner/Occupational Therapist
- Phone
- (228) 282-3434
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1013677392
- Entity type
- Organization
- NPI issued
- 28 Dec 2021
- Record last updated
- 31 Jul 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.