Most Relevant Information
Provider Data
| NPI Number: | 1003466871 |
| Provider Name: | JESSICA CARTER |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 3713 |
Most Important Dates
| Enumeration Date: | 09/13/2019 |
| Last Updated: | 08/08/2023 |
Provider Practice Location
8950 LORRAINE RD STE C
GULFPORT
MS
395034183
Practice Location Phone/Fax
| Phone: | 2283559946 |
| Fax: |
Provider Mailing Location
10545 W LANDON GREEN CIRCLE
GULFPORT
MS
39503
Provider Mailing Phone/Fax
| Phone: | 2282823434 |
| Fax: |