Individual
BRANDON MICHAEL DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1201 E MICHIGAN AVE STE 300, JACKSON, MI 49201-1853
(517) 205-7633
Mailing address
1201 E MICHIGAN AVE STE 300, JACKSON, MI 49201-1853
(517) 205-7633
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004444
MI
Other
Enumeration date
03/29/2021
Last updated
04/02/2021
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