Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 288479 | MS |
N | 225XE0001X | Environmental Modification | 288479 | MS |
N | 2251E1200X | Ergonomics | 288479 | MS |
N | 225XE1200X | Ergonomics | 288479 | MS |
N | 225XG0600X | Occupational Therapist - Gerontology | 288479 | MS |
N | 225XL0004X | Low Vision | 288479 | MS |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 288479 | MS |
NPI | 1043587165 |
---|---|
Provider Name | Courtney Everett |
First Address | Oxford, MS 38655-8611 |
Second Address | Oxford, MS 38655-8611 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2011 |
Last Update Date | 01/09/2021 |