Individual
INDRAKSHI DUBEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1880 GOODMAN RD E, SOUTHAVEN, MS 38671-9552
(662) 483-1049
Mailing address
8618 EDENFIELD CV, GERMANTOWN, TN 38138-7319
(901) 830-9899
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0T3445
MS
225X00000X
Occupational Therapist
2377
TN
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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