Individual
MARK JOHN DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
11 SYLVAN ST STE 2, DANVERS, MA 01923-2748
(975) 526-9400
(978) 526-9299
Mailing address
11 SYLVAN ST STE 2, DANVERS, MA 01923-2748
(975) 526-9400
(978) 526-9299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11116
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y67658
BCBS
MA
Enumeration date
02/09/2006
Last updated
09/28/2018
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