Individual
BRIAN D DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
18118 FM 344 W, FLINT, TX 75762-6010
(903) 590-5970
Mailing address
10973 COUNTY ROAD 152 W, BULLARD, TX 75757-8564
(903) 352-9194
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2055797
TX
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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