Individual
MATTHEW S DICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 101, HAGERSTOWN, MD 21742-6711
(301) 665-4970
(301) 665-4956
Mailing address
11110 MEDICAL CAMPUS RD STE 205, HAGERSTOWN, MD 21742-6797
(301) 665-4970
(301) 665-4956
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22591
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18GMMA
BCBS OF MARYLAND
—
01
—
5120
GHSMI/BLUECHOICE
—
01
—
701076
ACN
—
Enumeration date
07/11/2008
Last updated
04/24/2020
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