Jennifer Alford
Individual provider Active NPI Occupational Therapist · Summit, MS
NPI 1811218696 · NPPES record last updated Jun 16, 2010
Key facts
- NPI
- 1811218696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT2436 (MS)
- Practice address
- 4109 Highway 98 W
Summit, MS 39666-9132 - Phone
- (601) 276-3900
- NPI assigned
- Jun 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| OT2436 | MS | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT2436 | MS | Yes |
Addresses
Primary practice location
4109 Highway 98 W
Summit, MS 39666-9132
Mailing address
1455 N Lakeland Dr
Meridian, MS 39307-9020
Other providers in Summit, MS
- Marcenia Aldridge
- Ashley Alexander
- Shelley Anderson
- Lauren Arinder
- Raquel Ashford
- Juantario Badon
- Ashton Richardson Ballard
All providers in Summit, 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 Jun 16, 2010. 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.