Individual
DOUGLAS DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2405 ATHERHOLT RD, LYNCHBURG, VA 24501-2184
(434) 485-8517
Mailing address
2405 ATHERHOLT RD, LYNCHBURG, VA 24501-2184
(434) 485-8517
(434) 485-8594
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213814
VA
Other
Enumeration date
08/11/2020
Last updated
05/03/2021
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