Individual
SAMUEL ISAAC DICKSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
4120 DANUBE CT, OLNEY, MD 20832-2837
(240) 565-3295
Mailing address
4120 DANUBE CT, OLNEY, MD 20832-2837
(240) 565-3295
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/09/2023
Last updated
05/22/2025
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