Jessica Fortner, OTR/L Valid NPI
Individual provider · Specialist · Water Valley, MS
- NPI
- 1104100130
- Type
- Individual (Type 1)
- Primary specialty
- Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 174400000X
- License number
- OT2111 (MS)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2011-10-10
- Last updated
- 2011-10-10
Practice location
194 County Road 371
Water Valley, MS 38965-3998
(662) 607-0111