Individual
TERESA LYNN DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-0003971
Contact information
Practice address
260 CHAPMAN RD STE 100, NEWARK, DE 19702-5410
(410) 920-7130
Mailing address
248 BRICK HILL RD, ELKTON, MD 21921-1916
(410) 920-7130
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-0003971
DE
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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