Individual
HAYDEE DICKASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3212 TENOROC MINE RD, LAKELAND, FL 33805-8525
(863) 513-7214
Mailing address
3212 TENOROC MINE RD, LAKELAND, FL 33805-8525
(863) 513-7214
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16321
FL
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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