SearchIndiana225200000X

David Dickerson, PTA

NPI 1336861483 · on the registry since 2022 · sole proprietor

Practice

Address
118 Medical Dr
Carmel, IN 46032
Phone
(773) 957-6184
Organisation at this address
Lifespan Therapy
Carmel Care Center
Riverview Hospital
Total Renal Care Inc
Lifespan Advanced Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
510

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana