Individual
MR. DYKE CHARLES DICKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
841 E LINCOLN AVE, SUNNYSIDE, WA 98944-2347
(509) 839-0414
(509) 839-8847
Mailing address
841 E LINCOLN AVE, SUNNYSIDE, WA 98944-2347
(509) 839-0414
(509) 839-8847
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7010374
—
WA
01
—
96617
LABOR & INDUSTRIES
WA
Enumeration date
10/17/2006
Last updated
07/09/2007
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