Individual
MADISON CASEY DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5271 GETWELL RD # SUITTEA, SOUTHAVEN, MS 38672-9608
(662) 349-3512
Mailing address
5271 GETWELL RD, SOUTHAVEN, MS 38672-9608
(901) 870-2993
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3728
MS
Other
Enumeration date
01/10/2020
Last updated
06/15/2022
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