Dalton Frederick, OTD, OTR/L
Dalton Frederick, OTD, OTR/L is an Occupational Therapist in Private Practice in Vancleave, Mississippi. Graduated from University of Mississippi School of Medicine in 2023, 3 years ago. Practices with Bienville Therapy, LLC, a 25-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 3
- Trained at
- University of Mississippi School of Medicine
- Licensed in
- MS
- In the registry since
- 2023
What do these letters mean?
Practice location Address checks out
6300 E Lake Blvd Ste 101Vancleave, MS 39565-6771
Phone: (228) 215-2240
Fax: (228) 215-2241
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 15476 Dedeaux Rd Ste A, Gulfport, MS 39503-2637 — (228) 215-0700
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence OT-4052 (MS) |
|---|
Record details
| NPI number | 1811776701 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OTD , OTR/L |
| Sole proprietor | No |
| NPI enumerated | September 28, 2023 |
| Last updated in NPPES | August 22, 2024 |
| Certification date | August 22, 2024 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduated | 2023 (3 years in practice) |
| Group practice | Bienville Therapy, Llc — 25 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Vancleave
-
Peyton Belton, OTD, OTR/L
12305 Highway 57, Vancleave, MS 39565-9501 · (228) 238-0206
-
Niya Cooks, OTR/L
6300 E Lake Blvd Ste 101, Vancleave, MS 39565-6771 · (228) 215-2240
-
Mrs. Melissa Nolan Hartsfield
6300 E Lake Blvd Ste 101, Vancleave, MS 39565-6771 · (228) 215-2240
-
Julia G. Hines, OT
2109 Holder Rd, Vancleave, MS 39565-8741 · (228) 826-3059
-
Mrs. Karoline G Johnson, OT
16425 Highway 57, Vancleave, MS 39565-9010 · (228) 990-2476
-
Clarissa Picard, OCCUPATIONALTHERAPI
6300 E Lake Blvd Ste 101, Vancleave, MS 39565-6771 · (228) 215-2240