Individual
MRS. NANCILYNN DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
7712 OLD CANTON RD UNIT B, MADISON, MS 39110-9299
(601) 427-5775
Mailing address
118 WESTLAKE DR, BRANDON, MS 39047-9020
(601) 953-2447
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1377
MS
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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