Individual
MADISON JEANE DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
120 KITTANNING CARE DR, KITTANNING, PA 16201-4012
(724) 545-2273
Mailing address
826 PHILLIPS SCHOOL RD, NEW WILMINGTON, PA 16142-3804
(724) 498-3457
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP010552
PA
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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