Individual
MR. ANDREW JASON DICHSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1022 E WESLEY DR, O FALLON, IL 62269-6136
(618) 744-6613
Mailing address
616 DUSTIN LN, O FALLON, IL 62269-6102
(618) 830-8602
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056003353
IL
225XP0019X
Physical Rehabilitation Occupational Therapist
056003353
IL
Other
Enumeration date
11/02/2022
Last updated
11/16/2022
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