Individual
DANA SPEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 OLD PROGRESS RD, HATTIESBURG, MS 39401-9642
(601) 520-0699
Mailing address
15 OLD PROGRESS ROAD, HATTIESBURG, MS 39401
(601) 520-0699
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5345
MS
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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