Cliff D Dedeaux, OTR
Occupational Therapist in Hattiesburg, MS. Individual provider (NPI-1).
NPI number1972642403
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1972642403
- Entity type
- Individual (NPI-1)
- Name
- Mr. Cliff D Dedeaux
- Credential
- OTR
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT1514 | MS | Yes |
Practice location
1520 Adeline StSuite B
Hattiesburg, MS 39401-6265
Phone 662-418-7547
Mailing address
1520 Adeline StSuite B
Hattiesburg, MS 39401-6265
Phone 662-418-7547
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All 34 Occupational Therapist providers in Hattiesburg · All 3,372 providers in Hattiesburg
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