Individual
MS. KEELY LANE DODDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
290 E LAYFAIR DR, STE B, FLOWOOD, MS 39232-9526
(601) 983-1200
(601) 983-1205
Mailing address
290 E LAYFAIR DR, STE B, FLOWOOD, MS 39232-9526
(601) 983-1200
(601) 983-1205
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6038
MS
Other
Enumeration date
08/22/2016
Last updated
03/06/2017
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