| NPI | 1932704368 |
|---|---|
| Former Name | RACHAEL DICKERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT6098) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT028655) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2022-01-05 |