Individual
ASHLEY DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4801 TROUP HWY, STE 800, TYLER, TX 75703-2356
(903) 939-2800
Mailing address
680 JANIS DR, BULLARD, TX 75757-9624
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2066428
TX
Other
Enumeration date
08/29/2008
Last updated
04/13/2011
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