Individual
SUSAN MARIE PAUL DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6025 PRIMACY PARKWAY, MEMPHIS, TN 38119-5763
(901) 767-1040
(901) 374-9603
Mailing address
6025 PRIMACY PARKWAY, MEMPHIS, TN 38109-0000
(901) 767-1040
(901) 374-9603
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
043
TN
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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