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NPI Code Detail

MEDICARE: TAMMARAH DAWN HOUGLAND PT

MEDICARE:   TAMMARAH DAWN HOUGLAND  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT3157MS

General Provider Information

NPI Number : 1518222165
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMARAH DAWN HOUGLAND PT
Provider Business Mailing Address
First Line : 719 CLINTON PKWY
Second Line : SUITE B
City : CLINTON
State : MS
Zip : 39056-5245
Country : US
Telephone Number : 601-924-7828
Fax Number : 601-924-3979
Provider Business Practice Location Address
First Line : 719 CLINTON PKWY
Second Line : SUITE B
City : CLINTON
State : MS
Zip : 39056-5245
Country : US
Telephone Number : 601-924-7828
Fax Number : 601-924-3979
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2012
Last Update Date : 02/13/2013

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Directions to “ TAMMARAH DAWN HOUGLAND PT” Practice Location

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