Individual
LIZA MARIANA DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
2009 MONTANA AVE, EL PASO, TX 79903-3418
(915) 533-3511
(915) 533-3522
Mailing address
2009 MONTANA AVE, EL PASO, TX 79903-3418
(915) 533-3511
(915) 533-3522
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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