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Contact Information

RACQUEL GADDIS
224 SILVER LK
PEARL, MS39208-5079
 Phone: 601-941-8323
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
 

Feeding, Eating & Swallowing

224ZF0002X
Indicates primary specialty

NPI Profile & details for RACQUEL GADDIS · (Female)

NPI # 1811751613
Status Active
Credentials
Entity Individual
Enumeration date 02/12/2024
Last updated 02/12/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # OTA-2366
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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