Individual
SHERYL EGAN-OLAIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
15476 DEDEAUX RD STE A, GULFPORT, MS 39503-2637
(228) 215-0700
Mailing address
6300 E LAKE BLVD STE 301, VANCLEAVE, MS 39565-6771
(228) 230-2663
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0806
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015385
—
MS
Enumeration date
09/08/2007
Last updated
10/22/2025
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