Individual
MR. JEFF B DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
17 LAKE HERITAGE RD, LAUREL, MS 39443-8503
(601) 344-8225
Mailing address
17 LAKE HERITAGE RD, LAUREL, MS 39443-8503
(601) 344-8225
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1358
MS
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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