Individual
SCOTTY DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1500 E WOODROW WILSON DR, HUD-VASH, JACKSON, MS 39216
(601) 953-2442
Mailing address
118 WESTLAKE DR, BRANDON, MS 39047-9020
(601) 953-2442
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1334
MS
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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