Individual
ALYSSA DICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1310 CHESTNUT ST, FREMONT, OH 43420
(419) 307-5976
Mailing address
1310 CHESTNUT ST, FREMONT, OH 43420-4316
(419) 307-5976
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
9369A
AZ
225200000X
Physical Therapy Assistant
Primary
PTA011117
OH
Other
Enumeration date
12/29/2015
Last updated
07/05/2018
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