Individual
COLE EVANS DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1415 COMMERCE DR STE A, POCAHONTAS, AR 72455-1495
(870) 248-0800
(870) 248-0802
Mailing address
1415 COMMERCE DR STE A, POCAHONTAS, AR 72455-1495
(870) 248-0800
(870) 248-0802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5351
AR
225100000X
Physical Therapist
PT0000010465
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446657
—
TN
01
—
4004523
BCBST
TN
Enumeration date
06/17/2015
Last updated
09/26/2023
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