| Mrs Laurel E Dickerson, PT | |
|
14379 Route 9w, Ravena, NY 12143 | |
| (518) 756-3124 | |
| (518) 756-9476 |
| Full Name | Mrs Laurel E Dickerson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 14379 Route 9w, Ravena, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598918708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 005450-1 (New York) | Primary |
| 252Y00000X | Early Intervention Provider Agency | 005450-1 (New York) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Laurel E Dickerson, PT 537 Route 9w, Glenmont, NY 12077-3703 Ph: (518) 436-7888 | Mrs Laurel E Dickerson, PT 14379 Route 9w, Ravena, NY 12143 Ph: (518) 756-3124 |
Mrs. Amy E Waite, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14379 Route 9w, Ravena, NY 12143 Phone: 518-756-3124 Fax: 518-756-9476 | |
Quinn Roderick, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14379 Us Route 9w, Ravena, NY 12143 Phone: 518-756-3124 | |
Mrs. Michelle A Agostinoni, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14379 Route 9w, Ravena, NY 12143 Phone: 518-756-3124 Fax: 518-756-9476 |