Individual
TAYLOR LAYNE DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1181 MALL DR, LAS CRUCES, NM 88011-8105
(575) 522-0766
Mailing address
2457 SILVER SAGE DR, LAS CRUCES, NM 88011-4179
(918) 814-5877
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3586
NM
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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