Individual
TIFFANY N DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4734 SANDSTONE LN, HUNTINGTON, AR 72940-8801
(479) 650-7869
Mailing address
4734 SANDSTONE LN, HUNTINGTON, AR 72940-8801
(479) 650-7869
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2072
AR
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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