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Individual

JAMIE LYNN DICKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT OTR/L

Contact information

Practice address
883 W SPRING ST, LIMA, OH 45805-3228
(419) 227-3661
(419) 227-0813
Mailing address
13431 ROAD 10L, OTTAWA, OH 45875-9514

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT.007758
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT.007758
OHIO OCCUPATIONAL THERAPY, PHYSICAL THERAPY, AND ATHLETIC TRAINING BOARD
OH
Enumeration date
12/03/2012
Last updated
12/03/2012
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