Individual
ERICA RENEE DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
234 CORAOPOLIS RD, CORAOPOLIS, PA 15108-4004
(412) 331-6060
Mailing address
231 WOODHAVEN DR, BRIDGEVILLE, PA 15017-1242
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009606
PA
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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