Individual
MS. DAWANNA D BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
25117 HIGHWAY 15, UNION, MS 39365-9088
(601) 774-1588
(601) 774-5125
Mailing address
129 AIRPARK DRIVE, PHILADELPHIA, MS 39350
(601) 656-2525
(601) 774-5125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3957
MS
Other
Enumeration date
03/16/2006
Last updated
06/04/2010
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