Individual provider · Type 1 NPI

Miranda Wade, OT

Occupational Therapist · Water Valley, MS

NPI number 1992269500 Active

Practice location

630 S Main St
Water Valley, MS 38965-3468

Call (662) 473-5947 Map

Mailing address

711 Avignon Dr
Ridgeland, MS 39157-5120

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT3520 (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 1992269500

Miranda Wade, OT's National Provider Identifier is 1992269500, issued on Jan 28, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Water Valley, MS. The record was last updated on Jan 28, 2019.