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Individual

EMILY SANDBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
157 TISDALE RD, MADISON, MS 39110-8790
(601) 898-0683
Mailing address
157 TISDALE RD, MADISON, MS 39110-8790
(601) 898-0683

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1643
MS

Other

Enumeration date
07/28/2014
Last updated
07/28/2014
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