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Individual
VICKIE D DILLS
Active
Individual
VICKIE D DILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
17964
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17964
MA
2251S0007X
Sports Physical Therapist
17964
MA
2251X0800X
Orthopedic Physical Therapist
17964
MA
Other
Enumeration date
11/10/2011
Last updated
07/24/2017
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