Individual
DONNA HOOTEN DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFM, CFTS
Contact information
Practice address
625 E WASHINGTON ST, NASHVILLE, NC 27856-1737
(252) 462-0500
(252) 462-0521
Mailing address
625 E WASHINGTON ST, NASHVILLE, NC 27856-1737
(252) 462-0500
(252) 462-0521
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
550
NC
174400000X
Specialist
CFM00904
NC
225000000X
Orthotic Fitter
Primary
CFTS0549
NC
Other
Enumeration date
06/20/2008
Last updated
02/18/2010
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