Individual
MISS JENNIFER BROOK DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1000 S FORT THOMAS AVE, FORT THOMAS, KY 41075-2305
(513) 861-3100
Mailing address
2918 CLERMONT FARMS RD, BETHEL, OH 45106-7813
(513) 861-3100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA. 03412
OH
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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