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Evann Dickerson, DPT

Physical Therapist in Venice, FL. Individual provider (NPI-1).

NPI number1346854528
StatusActive
Last updated in NPPESSep 3, 2020

Details

NPI
1346854528
Entity type
Individual (NPI-1)
Name
Evann Dickerson
Credential
DPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 3, 2020
Certification date
Sep 3, 2020
Last updated
Sep 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT36200FLYes

Practice location

401 Johnson Ln Ste 101
Venice, FL 34285-6369

Phone 941-757-3459

Mailing address

3886 Deberry Dr
Sarasota, FL 34233-1225

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