Amy Dickson, PT | |
540 Buckstone Dr, Southampton, PA 18966-3618 | |
(215) 357-3068 | |
Not Available |
Full Name | Amy Dickson |
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Gender | Female |
Speciality | Physical Therapist |
Location | 540 Buckstone Dr, Southampton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679079354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 013841 (Pennsylvania) | Primary |
Provider Name | Pennsylvania Luna Care Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1528689445 PECOS PAC ID: 7012338973 Enrollment ID: O20200601001529 |
Mailing Address | Practice Location Address |
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Amy Dickson, PT 540 Buckstone Dr, Southampton, PA 18966-3618 Ph: (215) 357-3068 | Amy Dickson, PT 540 Buckstone Dr, Southampton, PA 18966-3618 Ph: (215) 357-3068 |
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