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Individual
BROOKE DICKMEYER
Active
Individual
BROOKE DICKMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9815
MN
225100000X
Physical Therapist
OR 6019
OR
225100000X
Physical Therapist
PT60103916
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0253485
WASHINGTON L&I
OR
05
—
500611221
—
OR
05
—
8568024
—
WA
01
—
P00836811
RR MEDICARE
WA
Enumeration date
08/18/2009
Last updated
06/11/2024
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