Individual
REBECCA MCWHONER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 ENTERPRISE DR, BILOXI, MS 39531-4039
(228) 385-3385
(601) 790-6416
Mailing address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2136
MS
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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