SearchIllinois225X00000X

De Dickerson, OTR/L

NPI 1881030096 · on the registry since 2013 · sole proprietor

Practice

Address
1120 46th Street Pl
Moline, IL 61265
Phone
(309) 762-3006

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-05-14

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 Illinois