Individual
JANAI VITAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 MAGNOLIA ST APT D, GULFPORT, MS 39507-3569
(228) 206-6978
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 702-4389
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-3896
MS
Other
Enumeration date
07/20/2022
Last updated
08/06/2025
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