Individual
MS. CAROL JEAN DICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1777 W SAINT MARY'S RD, TUCSON, AZ 85745
(520) 884-9819
(520) 884-0175
Mailing address
1777 W SAINT MARY'S RD, TUCSON, AZ 85745
(520) 884-9819
(520) 884-0175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4210
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499617
—
AZ
Enumeration date
05/09/2006
Last updated
03/26/2015
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