Individual
ANGELA DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 S NEOSHO ST, CHERRYVALE, KS 67335-2002
(620) 330-6110
(620) 330-6133
Mailing address
3494 SALINE RD, NEODESHA, KS 66757-1221
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03294
KS
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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