Individual
KAYLA L DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6201 E VIRGINIA BEACH BLVD STE 110, NORFOLK, VA 23502-2807
(757) 261-0820
Mailing address
6201 E VIRGINIA BEACH BLVD, NORFOLK, VA 23502-2807
(757) 261-0820
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606031
VA
Other
Enumeration date
03/03/2022
Last updated
04/22/2022
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