Individual
DENA SHAE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6100 OLD BRANDON RD, BRANDON, MS 39042-2543
(601) 260-4605
(601) 933-1113
Mailing address
6100 OLD BRANDON RD, BRANDON, MS 39042-2543
(601) 260-4605
(601) 933-1113
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 2698
MS
Other
Enumeration date
11/15/2010
Last updated
05/03/2011
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