De Anna Dickerson, OTR/L

NPI #1881030096 in Moline, Illinois

Provider Information

NPI Number: 1881030096
Entity Type: Individual
Name: De Anna Dickerson, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: May 14, 2013
Last Updated: May 14, 2013

Practice Location

Address: 1120 46TH STREET PL
City: Moline
State: Illinois
ZIP Code: 61265-2651
Phone: (309) 762-3006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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