Individual
DEBBIE WEGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1451 N LAKELAND DR, MERIDIAN, MS 39307-9020
(601) 250-4815
Mailing address
117 S GLYNN AVE, QUITMAN, MS 39355-2511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0177
MS
Other
Enumeration date
09/16/2008
Last updated
09/29/2008
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