Benjamin Lane Dickerson
Physical Therapist - Sports
3207 Hilliard Rome Rd
Hilliard
, Ohio 43026
Benjamin Lane Dickerson
Physical Therapist - Sports
3207 Hilliard Rome Rd
Hilliard
, Ohio 43026
(419) 618-5565
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About
Features
Specialties
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Benjamin Lane Dickerson
- 1520 W 6th Ave Apt 13
- Columbus, OH
- Zip : 43212-2469
- Phone : (419) 618-5565
Second Address
- Benjamin Lane Dickerson
- 3207 Hilliard Rome Rd
- Hilliard, OH
- Zip : 43026
- Phone : (614) 850-0680
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2251S0007X | Physical Therapist - Sports | 8403 | SC |
| Y | 2251S0007X | Physical Therapist - Sports | PT.015069 | OH |
National Provider Identifier
| NPI | 1477016327 |
|---|---|
| Provider Name | Benjamin Lane Dickerson |
| First Address | Columbus, OH 43212-2469 |
| Second Address | Hilliard, OH 43026 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/04/2019 |
| Last Update Date | 07/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.