Individual
ALTON AARON DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
4801 N. BUTLER, SUITE 2000 AND GUARDIAN ANGEL, FARMINGTON, NM 87401
(505) 564-9002
Mailing address
P.O. BOX # 15012, FARMINGTON, NM 87401
(505) 564-9002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0530
NM
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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