Whalio Doctors

NPI 1295004489

Christian Smith

Practitioner Occupational Therapy Assistant Hattiesburg, MS

Practice location

Address
10 Medical Blvd, Hattiesburg, MS 39401-7230
Phone
(601) 543-0310
Mailing address
4109 Highway 98 W, Summit, MS 39666-9132

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence TA2358 (MS)

Registry record

NPI
1295004489
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Dec 2011
Record last updated
19 Dec 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.