Individual
DELLWYN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
(601) 605-8869
Mailing address
5930 KRISTEN DR, JACKSON, MS 39211-2835
(601) 506-9033
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1971
MS
Other
Enumeration date
02/20/2008
Last updated
01/05/2022
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