Thomas Haven Gazaway, ot
Occupational Therapist in Brandon, MS. Individual provider (NPI-1).
NPI number1013290519
StatusActive
Last updated in NPPESSep 21, 2011
Details
- NPI
- 1013290519
- Entity type
- Individual (NPI-1)
- Name
- Thomas Haven Gazaway
- Credential
- ot
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2011
- Last updated
- Sep 21, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT2580 | MS | Yes |
Practice location
2015 Highpointe DriveBrandon, MS 39042-0000
Phone 888-976-2667 · Fax 601-824-8816
Mailing address
2015 Highpointe DriveBrandon, MS 39042-0000
Phone 888-976-2667 · Fax 601-824-8816
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All 37 Occupational Therapist providers in Brandon · All 1,032 providers in Brandon
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