Individual
ALEXANDRA DICKASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 OKATIE CENTER BLVD N, OKATIE, SC 29909-3750
(843) 547-4058
Mailing address
100 OKATIE CENTER BLVD N, OKATIE, SC 29909-3750
(843) 547-4058
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12332
SC
225100000X
Physical Therapist
P18902
NC
Other
Enumeration date
11/22/2019
Last updated
10/21/2024
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