| NPI | 1881824456 |
|---|---|
| Former Name | MICHELLE DICKSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0016655) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA CP026712T) |
| 225100000X Physical Therapist (Licence: UT CP028293T) | |
| 225100000X Physical Therapist (Licence: OH CP021343T) | |
| 225100000X Physical Therapist (Licence: AR CP028292T) | |
| 225100000X Physical Therapist (Licence: DE CP028294T) | |
| 225100000X Physical Therapist (Licence: CA 293599) | |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2024-03-18 |