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1952963720
SHAD DICKINSON
ENGLEWOOD, CO
NPI
1952963720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0014060)
Enumeration Date
2019-07-02
Last Update Date
2019-07-02
Business Address
SHAD DICKINSON PTA
750 W HAMPDEN AVE STE 105
ENGLEWOOD, CO 80110-2167
Phone number: 303-945-3299
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Mailing Address
SHAD DICKINSON PTA
6025 TRAILHEAD RD
HIGHLANDS RANCH, CO 80130-5327
Phone number: 702-582-2981
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