Individual
KRISTEN DANIELLE DUNAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1901A MISSION 66, VICKSBURG, MS 39180-3711
(601) 638-5518
Mailing address
1901A MISSION 66, VICKSBURG, MS 39180-3711
(601) 638-5518
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4044
MS
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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