Individual provider · Type 1 NPI

Jordan Whitaker

Occupational Therapist · Hattiesburg, MS

NPI number 1295004174 Active

Practice location

10 Medical Blvd
Hattiesburg, MS 39401-7230

Call (601) 543-0310 Map

Mailing address

4109 Highway 98 W
Summit, MS 39666-9132

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2546 (MS)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1295004174

Jordan Whitaker's National Provider Identifier is 1295004174, issued on Dec 21, 2011. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Dec 21, 2011.