Jennifer M Dickerson OTRL

NPI 1356498281 - Occupational Therapist - 225XP0200X

NPI Details
NPI 1356498281
Gender Female
Enumeration Date 01/04/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
40 BROAD STREET RD
MANAKIN SABOT VA, 23103-2213, US
Phone (804) 784-3514
Fax
Business Location
8154 SIGNAL HILL RD
MECHANICSVILLE VA, 23111-1231, US
Phone (804) 730-3239
Fax
Toxanomy
Taxonomy Code 225XP0200X
License State Virginia
License Number 0119001291
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According to our database, Miss Jennifer M Dickerson OTRL NPI is 1356498281, taxonomy code is 225XP0200X and license number is 0119001291, license state is located at Virginia. Jennifer M Dickerson OTRL physically located at 40 Broad Street Rd, Manakin Sabot VA, 23103-2213. NPI Number Jennifer M Dickerson OTRL has the Individual type.

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1356498281 NPI number is provided on an as is basis without warranty of any kind. 1356498281 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer M Dickerson OTRL are for informational purposes only.