Individual
ANGELA DYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2203 MCKINLEY RD, JOHNSON CITY, TN 37604-6893
(423) 434-2134
Mailing address
100 DOGWOOD CIR, BULLS GAP, TN 37711-2760
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000004702
TN
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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