Individual
JANICE DICKHAUS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
108 NW 76TH DR, SUITE A, GAINESVILLE, FL 32607-6652
(352) 331-3161
Mailing address
108 NW 76TH DR, SUITE A, GAINESVILLE, FL 32607-6652
(352) 331-3161
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT2080
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y025W
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/20/2006
Last updated
07/08/2007
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