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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RACQUEL GADDIS

Active Sole Proprietor

RACQUEL GADDIS is a Occupational Therapy Assistant healthcare provider located in PEARL, Mississippi. NPI 1811751613 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · PEARL, MS

Registration Details

NPI Number
1811751613
Provider Type
Individual
Gender
Female
NPI Issued
Feb 12, 2024 (2.5381372585629 yrs)
Last Updated
Feb 12, 2024
Licenses
OTA-2366 (MS)
OTA-2366 (MS)
Sole Proprietor
Yes

Practice Information

Address
224 SILVER LK
PEARL, MS, 392085079
Browse MS providers · Browse ZIP 39208
Phone
6019418323
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.