Individual provider · Type 1 NPI
Jessica Fortner, OTR/L
Specialist · Water Valley, MS
NPI number
1104100130
Active
Practice location
194 County Road 371
Water Valley, MS 38965-3998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | OT2111 (MS) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1104100130
Jessica Fortner, OTR/L's National Provider Identifier is 1104100130, issued on Oct 10, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Water Valley, MS. The record was last updated on Oct 10, 2011.