Individual
MAYA DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7281 LONE PINE DR STE D103-A, RANCHO MURIETA, CA 95683-9715
(916) 354-0719
Mailing address
8635 CARLIN AVE, SACRAMENTO, CA 95823-6931
(916) 213-7958
(916) 213-7958
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52476
CA
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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