Whalio Doctors

NPI 1013290519

Thomas Haven Gazaway, OT

Practitioner Occupational Therapist Brandon, MS

Practice location

Address
2015 Highpointe Drive, Brandon, MS 39042-0000
Phone
(888) 976-2667
Fax
(601) 824-8816

Registered specialties

Occupational Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OT2580 (MS)

Registry record

NPI
1013290519
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Sep 2011
Record last updated
21 Sep 2011

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.