Individual
MELINDA DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
404 PEG LN, AMORY, MS 38821-1210
(662) 315-0084
(479) 709-7717
Mailing address
404 PEG LN, AMORY, MS 38821-1210
(662) 315-0084
(479) 709-7717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT973
MS
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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