Individual
JENNIFER DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
607 S MAIN ST STE A, CONCORDIA, MO 64020-2503
(660) 463-2588
Mailing address
607 S MAIN ST STE A, CONCORDIA, MO 64020-2503
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2013028756
MO
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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