Christine R Ackerman, OT
Individual provider Active NPI Occupational Therapist · Gulfport, MS
NPI 1033415906 · NPPES record last updated Feb 9, 2011
Key facts
- NPI
- 1033415906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT1697 (MS)
- Practice address
- 9471 Three Rivers Rd Ste D
Gulfport, MS 39503-4230 - Phone
- (228) 822-9066
- Fax
- (228) 822-9722
- NPI assigned
- Feb 9, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT1697 | MS | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT1697 | MS | Yes |
Addresses
Primary practice location
9471 Three Rivers Rd Ste D
Gulfport, MS 39503-4230
Mailing address
9471 Three Rivers Rd Ste D
Gulfport, MS 39503-4230
Phone (228) 822-9066
Other providers in Gulfport, MS
- Ability Club Corporation
- Ophelia Abrahams
- Roberta Abshire
- Absolem Therapy LLC
- Abundant Home Care
- Kenneth John Ackerman
- Acme Medical Supply, LLC
- Ekow E Acquah
- Kelsey Adam
- Casey Adams
All providers in Gulfport, MS · Occupational Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.