Individual
NOAH DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2322 POWELL ST, EMERYVILLE, CA 94608-1738
(510) 653-5151
Mailing address
459 23RD ST APT 408, OAKLAND, CA 94612-2328
(530) 215-6424
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
304425
CA
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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