Individual
CHRISTINE DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
16171 N BRINSON ST, NAMPA, ID 83687-5509
(208) 442-2525
(208) 442-2505
Mailing address
16171 N BRINSON ST, NAMPA, ID 83687-5509
(208) 442-2525
(208) 442-2505
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT-663
ID
Other
Enumeration date
10/01/2008
Last updated
08/10/2015
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