Individual provider · Type 1 NPI

Keely Fortenberry

Occupational Therapist · Prentiss, MS

NPI number 1336769306 Active

Practice location

1102 Rose St
Prentiss, MS 39474-5200

Call (601) 792-1242 Map

Mailing address

711 Avignon Dr
Ridgeland, MS 39157-5120

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT3495 (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…

9 other providers at this address

About NPI 1336769306

Keely Fortenberry's National Provider Identifier is 1336769306, issued on Apr 20, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Prentiss, MS. The record was last updated on Apr 20, 2020.