Individual
TALIAH KATHLEEN DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
524 N ELY ST, KENNEWICK, WA 99336-2576
(855) 840-7257
Mailing address
112 N MAYFIELD ST, KENNEWICK, WA 99336-3331
(509) 586-9451
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160935519
WA
Other
Enumeration date
08/13/2010
Last updated
01/16/2020
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