Individual
MANDI DICKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2170 SOUTH AVE # B, SOUTH LAKE TAHOE, CA 96150-7008
(530) 539-6675
Mailing address
1890 10TH ST, SOUTH LAKE TAHOE, CA 96150-3824
(612) 655-3144
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
305994
CA
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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