Individual
MRS. AGNES GARCIA DICKENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 HAWKS RD, MARTIN, TN 38237-2708
(731) 587-0072
Mailing address
103 SHADOW WOOD CV, MARTIN, TN 38237-8148
(731) 587-9482
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
TN3367
TN
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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