Taryn Dyess, COTA/L

NPI #1669857967 in Petal, Mississippi

Provider Information

NPI Number: 1669857967
Entity Type: Individual
Name: Taryn Dyess, COTA/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: COTA/L
Enumeration Date: Jul 28, 2015
Last Updated: Jul 28, 2015

Practice Location

Address: 24 TRYSTAN DR
City: Petal
State: Mississippi
ZIP Code: 39465-2839
Phone: (601) 408-1150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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