ALTON AARON DICKSON

FARMINGTON, NM
NPI1972793966
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NM  A-0530)
Enumeration Date2007-07-26
Last Update Date2007-07-26
Business Address
-- ALTON AARON DICKSON P.T.A.
4801 N. BUTLER, SUITE 2000 AND GUARDIAN ANGEL
FARMINGTON, NM 87401
Phone number: 505-564-9002
Mailing Address
-- ALTON AARON DICKSON P.T.A.
P.O. BOX # 15012
FARMINGTON, NM 87401
Phone number: 505-564-9002