Individual
DR. CHRISTOPHER LEE DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
911 W 38TH ST STE 300, AUSTIN, TX 78705-1161
(512) 439-1000
Mailing address
4700 SETON CENTER PKWY STE 175, AUSTIN, TX 78759-4107
(512) 439-1000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0301544
L & I
WA
Enumeration date
08/28/2012
Last updated
05/15/2023
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