Individual provider · Type 1 NPI

Dalton Frederick, OTD, OTR/L

Occupational Therapist · Vancleave, MS

NPI number 1811776701 Active

Practice location

6300 E Lake Blvd Ste 101
Vancleave, MS 39565-6771

Call (228) 215-2240 Map

Fax (228) 215-2241

Mailing address

6300 E Lake Blvd Ste 301
Vancleave, MS 39565-6771

Other practice locations

  • 15476 Dedeaux Rd Ste A, Gulfport, MS 39503-2637 · (228) 215-0700

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT-4052 (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 1811776701

Dalton Frederick, OTD, OTR/L's National Provider Identifier is 1811776701, issued on Sep 28, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Vancleave, MS. The record was last updated on Aug 22, 2024.