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Individual

SHAD DICKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
750 W HAMPDEN AVE STE 105, ENGLEWOOD, CO 80110-2167
(303) 945-3299
Mailing address
6025 TRAILHEAD RD, HIGHLANDS RANCH, CO 80130-5327
(702) 582-2981

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014060
CO

Other

Enumeration date
07/02/2019
Last updated
07/02/2019
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