Individual
SIERA GRAYCE DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3218 INDIAN RIPPLE RD, BEAVERCREEK, OH 45440-3637
(937) 426-8481
Mailing address
1350 TOWNSHIP ROAD 198, BELLEFONTAINE, OH 43311-9207
(937) 441-6267
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT012066
OH
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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