Ketrina Cannon in Ridgeland - Occupational Therapist
Ketrina Cannon - NPI 1497839765
Ketrina Cannon is a Occupational Therapist in Ridgeland, Mississippi. Ketrina Cannon practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Ketrina Cannon is 1497839765. The last update date is 2007-07-08.
Ketrina Cannon's current location address is 1054 Highland Cove Pl, Ridgeland, Mississippi. You can contact this provider via phone number 6016366019 and fax number 6016618457. The mailing address for Ketrina Cannon is 1054 Highland Cove Pl, Ridgeland, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ketrina Cannon |
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Address | 1054 Highland Cove Pl, Ridgeland, Mississippi |
Phone Number | 6016366019 |
Fax Number | 6016618457 |
Sole Proprietor | N |
Credentials | OT |
NPI Number Detail
NPI Number | 1497839765 |
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Provider Enumeration Date | 2006-10-24 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1054 Highland Cove Pl |
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City | Ridgeland |
State | Mississippi (MS) |
Post Code | 391571523 |
Phone Number | 6016366019 |
Fax Number | 6016618457 |
Provider's Primary Taxonomy Detail
Speciality | Occupational Therapist |
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Taxonomy | 225X00000X |
Licence No | OT2017 |
Definition: 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 Federat |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Ketrina Cannon by the Centers for Medicare & Medicaid Services?
The Ketrina Cannon has been assigned the NPI (National Provider Identifier) 1497839765 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Ketrina Cannon?
The Ketrina Cannon is physically situated at 1054 Highland Cove Pl, in the city of Ridgeland, state of MS, with the postal code 391571523.
What is Ketrina Cannon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ketrina Cannon is Occupational Therapist, and the taxonomy code that classifies this field of practice is 225X00000X.
When was the Ketrina Cannon's 1497839765 issued?
The Ketrina Cannon's 1497839765 was issued on 2006-10-24.
When was the Ketrina Cannon's information last updated?
The Ketrina Cannon's information was last updated on 2007-07-08.
NPI Number: 1063415297
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