Individual
MRS. DEANNA DAWN DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
94 MAIN ST, CASSVILLE, MO 65625-1610
(417) 847-6085
(417) 847-6026
Mailing address
18049 CRESTVIEW DR, CASSVILLE, MO 65625-4129
(417) 847-7748
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005049
MO
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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