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Individual

MARTHA TUCKER DICKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
115 SUDBROOK LN STE A, BALTIMORE, MD 21208-4184
(410) 358-1997
Mailing address
115 SUDBROOK LN STE A, BALTIMORE, MD 21208-4184
(410) 358-1997

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PTO12912
GA

Other

Enumeration date
06/12/2017
Last updated
11/28/2022
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