Dickerson, De Anna

Dickerson, De Anna is an sole proprietor health care provider with primary practice located at 1120 46Th Street Pl , Moline IL 61265-2651. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Dickerson, De Anna can be contacted via phone (309) 762-3006.

Contact Information

Primary practice address
1120 46Th Street Pl Moline IL 61265-2651
Phone: (309) 762-3006
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056.002979 Illinois

Profile Details

NPI number 1881030096
LBN Legal business name Dickerson, De Anna
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2013
Last updated May 14th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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