JORDAN WHITAKER

HATTIESBURG, MS
NPI1295004174
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MS  2546)
Enumeration Date2011-12-21
Last Update Date2011-12-21
Business Address
-- JORDAN WHITAKER
10 MEDICAL BLVD
HATTIESBURG, MS 39401-7230
Phone number: 601-543-0310
Mailing Address
-- JORDAN WHITAKER
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: