Individual
MEGAN DE JONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 W JACKSON ST STE 2, RIDGELAND, MS 39157-2355
(601) 427-5703
Mailing address
143 BURNE RUN, MADISON, MS 39110-4005
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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