| Brenda Dickenson, LMT | |
|
5 Wall St Ste 101, Clifton Park, NY 12065-3851 | |
| (315) 415-3791 | |
| Not Available |
| Full Name | Brenda Dickenson |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 5 Wall St Ste 101, Clifton Park, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255702239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 028956 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Dickenson, LMT 5 Wall St Ste 101, Clifton Park, NY 12065-3851 Ph: (315) 415-3791 | Brenda Dickenson, LMT 5 Wall St Ste 101, Clifton Park, NY 12065-3851 Ph: (315) 415-3791 |
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