Individual
JONATHAN MATTHEW PAPANIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
15020 DAWNLAND DRIVE, GULFPORT, MS 39503
(228) 669-8269
Mailing address
15020DAWNLAND DRIVE, GULFPORT, MS 39503
(228) 669-8269
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
340272
OR
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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