MEDICARE: JAIME GARRETT MS, OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT2705	MS

General Provider Information

NPI Number	:	1992231211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIME GARRETT MS, OTR

Provider Business Mailing Address
First Line	:	PO BOX 8419
Second Line	:
City	:	BILOXI
State	:	MS
Zip	:	39535-8087
Country	:	US
Telephone Number	:	228-388-5714
Fax Number	:

Provider Business Practice Location Address
First Line	:	3603 BIENVILLE BLVD STE 200
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-5736
Country	:	US
Telephone Number	:	228-818-1207
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2017
Last Update Date	:	05/05/2017

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