Individual
CHRISTINE MARIE DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2651 STONEBURY LOOP RD, SPRINGVILLE, UT 84663-3936
(801) 631-9796
Mailing address
2651 STONEBURY LOOP RD, SPRINGVILLE, UT 84663-3936
(801) 631-9796
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
75736642402
UT
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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