Individual
MIKE DEMPSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 MARYLAND AVE, MCCOMB, MS 39648-3926
(601) 250-4815
Mailing address
4705 JEB STUART PL, BOSSIER CITY, LA 71112-4739
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4719
LA
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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