Stephanie Marie Dickerson DPT

NPI 1174739692 - Physical Therapist - 225100000X

NPI Details
NPI 1174739692
Gender Female
Enumeration Date 05/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1150 VETERANS BLVD
REDWOOD CITY CA, 94063-2037, US
Phone (650) 299-4854
Fax
Business Location
1150 VETERANS BLVD
REDWOOD CITY CA, 94063-2037, US
Phone (650) 299-4049
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT 30443
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According to our database, Dr. Stephanie Marie Dickerson DPT NPI is 1174739692, taxonomy code is 225100000X and license number is PT 30443, license state is located at California. Stephanie Marie Dickerson DPT physically located at 1150 Veterans Blvd, Redwood City CA, 94063-2037. NPI Number Stephanie Marie Dickerson DPT has the Individual type.

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1174739692 NPI number is provided on an as is basis without warranty of any kind. 1174739692 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie Marie Dickerson DPT are for informational purposes only.