Individual
SYDNEY SHEA DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10702 E STATE ROAD 156, VEVAY, IN 47043-2722
(812) 532-0822
Mailing address
10702 E STATE ROAD 156, VEVAY, IN 47043-2722
(812) 532-0822
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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