Individual
JANE E NEWKIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1800 BEACH DR, GULFPORT, MS 39507-1553
(228) 897-4452
(228) 897-4481
Mailing address
PO BOX 8419, BILOXI, MS 39535-8087
(228) 388-5714
(228) 388-0017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2762
MS
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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