Individual
AUGUSTA L DICKENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5828 PEARL DR, EVANSVILLE, IN 47712-8116
(812) 437-1420
(812) 437-1425
Mailing address
PO BOX 922, EVANSVILLE, IN 47706-0922
(866) 309-5567
(812) 491-1269
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004333A
IN
Other
Enumeration date
08/10/2006
Last updated
02/01/2024
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