Individual
PAMELA LOU DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
11319 AUTUMN WIND LOOP, CLERMONT, FL 34711-6434
(352) 989-6326
Mailing address
11319 AUTUMN WIND LOOP, CLERMONT, FL 34711-6434
(352) 989-7326
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1957
FL
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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