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Individual

CHASSITY DICKERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13329 PORTAGE RD, VICKSBURG, MI 49097-9496
(269) 649-2400
Mailing address
13329 PORTAGE RD, VICKSBURG, MI 49097-9496
(269) 649-2400

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000758
MI

Other

Enumeration date
10/05/2016
Last updated
10/05/2016
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