Individual
JASON R DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 MAIN ST, CASSVILLE, MO 65625-1154
(417) 847-2221
(417) 847-4009
Mailing address
1501 MAIN ST, CASSVILLE, MO 65625-1154
(417) 847-2221
(417) 847-4009
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005215
MO
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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