Individual
ROBERT BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
16 OFFICE PARK DRIVE, SUITE 21, HATTIESBURG, MS 39402
(601) 296-9191
(601) 296-9190
Mailing address
PO BOX 16325, HATTIESBURG, MS 39404-6325
(601) 296-9191
(601) 296-9190
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0493
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03389700
—
MS
01
—
P00062876
RAILROAD MEDICARE
MS
Enumeration date
10/03/2006
Last updated
01/22/2008
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