Individual
HEATHER L. DORRANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4324 LOUISIANA AVE, COLUMBUS, MS 39705-7597
(662) 434-8544
Mailing address
4324 LOUISIANA AVE, COLUMBUS, MS 39705-7597
(662) 434-8544
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3247
SC
Other
Enumeration date
03/13/2007
Last updated
08/12/2010
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