Thu Doan, OT – Occupational Therapist in Grenada, MS

Key facts

NPI: 1306301445
Entity type: Individual (NPI type 1)
Primary specialty: Occupational Therapist 225X00000X
License: OT0837 (MS)
Practice address: 335 Horseshoe LN
Grenada, MS 38901-6910
Phone: (662) 229-7808
NPI assigned: Feb 3, 2019
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Delta Rehab Contract Services, Inc. Occupational Therapist · Grenada, MS · NPI 1497210405

NPD Authorized official PHYSICAL THERAPIST

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
PT1795	MS	MD	Physical Therapist
OT0837	MS	MD	Occupational Therapist

Practice roles

Organization	Specialty	Status	New patients
Delta Rehab Contract Services, Inc.	Physical Therapist	Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	PT1795	MS
Occupational Therapist	225X00000X	OT0837	MS	Yes

Addresses

Primary practice location

335 Horseshoe LN
Grenada, MS 38901-6910

Mailing address

335 Horseshoe LN
Grenada, MS 38901-6910
Phone (662) 229-7808

Other providers in Grenada, MS

All providers in Grenada, 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 3, 2019. 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.

Verify at the official NPI Registry.