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Individual

CHEYENNE HOPE HEDDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
220 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3208
(662) 290-3270
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3909

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6232
MS

Other

Enumeration date
08/03/2017
Last updated
08/03/2017
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