| Doctor Name: | JENNIFER MARIE DICKSON |
| NPI Number: | 1558495846 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT, OMPT |
| License Number: | 5501011225 |
| Business Practice Address: | 67962 Van Dyke Rd Romeo, MI - 480655163 |
| Business Phone Number: | 5863364022 |
| Business Fax Number: | 5863364082 |
| Mailing Address: | 878 S Rochester Rd, ROCHESTER HILLS |
| State: | MI |
| Postal Code: | 483072767 |
| Phone Number: | 2486019207 |
| Fax Number: | 2486508670 |
| NPI Enumeration Date: | 03/16/2007 |
| NPI Last Update Date: | 07/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 5501011225 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |