Doctor Name: | MELINDA DICKERSON |
NPI Number: | 1114394095 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | PT973 |
Business Practice Address: | 404 Peg Ln Amory, MS - 388211210 |
Business Phone Number: | 6623150084 |
Business Fax Number: | 4797097717 |
Mailing Address: | 404 Peg Ln, AMORY |
State: | MS |
Postal Code: | 388211210 |
Phone Number: | 6623150084 |
Fax Number: | 4797097717 |
NPI Enumeration Date: | 08/27/2015 |
NPI Last Update Date: | 08/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT973 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |