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Individual

MARIE W HATTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
7213 S SIWELL RD, BYRAM, MS 39272-9776
(601) 829-0505
(601) 829-0506
Mailing address
7213 SIWELL ROAD, BYRAM, MS 39272
(601) 829-0505
(601) 829-0506

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4228
MS

Other

Enumeration date
08/28/2012
Last updated
08/28/2012
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