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1225358385
SARA MICHELLE DICKERSON
DANVILLE, IL
NPI
1225358385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 016.0004032)
Enumeration Date
2010-06-10
Last Update Date
2022-01-06
Business Address
SARA MICHELLE DICKERSON PTA
620 WARRINGTON AVE
DANVILLE, IL 61832-5446
Phone number: 217-446-0660
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Mailing Address
SARA MICHELLE DICKERSON PTA
550 FRONTAGE RD SUITE 2415
NORTHFIELD, IL 60093-1202
Phone number: 847-441-5593
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