Individual
RHUEL DICKINSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1151 HIGHWAY 35 S, FOREST, MS 39074-8829
(601) 469-2732
Mailing address
100 PIONEER WAY, MAGEE, MS 39111-5501
(601) 849-6440
(601) 849-1332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6907
LICENSE
MS
Enumeration date
08/21/2020
Last updated
08/21/2020
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