BRANDON DICKSON

HURRICANE, WV
NPI1477862647
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WV  C1762)
Enumeration Date2010-10-05
Last Update Date2010-10-05
Business Address
BRANDON DICKSON
509 POPLAR FORK ROAD
HURRICANE, WV 25526
Phone number: 304-757-7826
Mailing Address
BRANDON DICKSON
181 FOUNTAIN PL
HUNTINGTON, WV 25701-5203
Phone number:
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