Individual
JOANNA KIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOT
Contact information
Practice address
55 SGT PRENTISS DR, SUITE 8, NATCHEZ, MS 39120-4782
(601) 446-8764
(601) 446-8745
Mailing address
55 SGT PRENTISS DR, SUITE 8, NATCHEZ, MS 39120-4782
(601) 446-8764
(601) 446-8745
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT1805
MS
Other
Enumeration date
01/18/2012
Last updated
01/03/2020
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