Individual
JESSICA DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-2923
(317) 519-3100
Mailing address
212 S KENTUCKY ST, DANVILLE, IN 46122-1610
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004736A
IN
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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