Individual provider · Type 1 NPI

Cliff D. Dedeaux, OTR

Occupational Therapist · Hattiesburg, MS

NPI number 1972642403 Active

Practice location

1520 Adeline St, Suite B
Hattiesburg, MS 39401-6265

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT1514 (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 1972642403

Cliff D. Dedeaux, OTR's National Provider Identifier is 1972642403, issued on Feb 5, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Hattiesburg, MS. The record was last updated on Jul 8, 2007.