Dandelion Pediatric Therapy, LLC
NPI #1053080382 in Madison, Mississippi
Provider Information
- NPI Number
- 1053080382
- Entity Type
- Organization
- Organization Name
- Dandelion Pediatric Therapy, LLC
- Primary Specialty
- Occupational Therapist - Pediatrics
- Enumeration Date
- Sep 9, 2021
- Last Updated
- Sep 9, 2021
Practice Location
- Address
- 125 STILLHOUSE CREEK DR
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-6943
- Phone
- (601) 826-2609
Authorized Official
- Name
- MRS. ASHLEY NICOLE BUCK, MS, OTR/L
- Title
- SOLE MEMBER
- Phone
- (601) 826-2609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
| Physical Therapist - Pediatrics — Pediatrics |
| Physical Therapy Assistant |
| Occupational Therapist |
| Specialist/Technologist - Speech-Language Assistant — Speech-Language Assistant |
| Speech-Language Pathologist |
| Occupational Therapist - Pediatrics — Pediatrics |
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