Susan Marie Paul Dickerson, OTR/L - Occupational Therapist in Memphis, TN

Susan Marie Paul Dickerson, OTR/L is a Occupational Therapist based in Memphis, Tennessee. Susan Marie Paul Dickerson is licensed to practice in Tennessee (license number 043) and her current practice location is 6025 Primacy Parkway, Memphis, Tennessee. She can be reached at her office (for appointments etc.) via phone at (901) 767-1040.

NPI number for Susan Marie Paul Dickerson is 1093032450 and her current mailing address is 6025 Primacy Parkway, Memphis, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093032450.

Contact Information

Susan Marie Paul Dickerson, OTR/L
6025 Primacy Parkway,
Memphis, TN 38119-5763
(901) 767-1040
(901) 374-9603

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Healthcare Provider's Profile

Full NameSusan Marie Paul Dickerson
GenderFemale
SpecialityOccupational Therapist
Location6025 Primacy Parkway, Memphis, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093032450
  • Provider Enumeration Date: 04/26/2010
  • Last Update Date: 04/26/2010

Medical Identifiers

Medical identifiers for Susan Marie Paul Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093032450NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 043 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Marie Paul Dickerson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Susan Marie Paul Dickerson, OTR/L
6025 Primacy Parkway,
Memphis, TN 38109-0000

Ph: (901) 767-1040
Susan Marie Paul Dickerson, OTR/L
6025 Primacy Parkway,
Memphis, TN 38119-5763

Ph: (901) 767-1040

Reviews and Comments


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