Dr. Christopher Lee Dickerson
Physical Therapist
5210 Corporate Center Ct Se Suite D
Lacey
, Washington 98503-5952
Dr. Christopher Lee Dickerson
Physical Therapist
5210 Corporate Center Ct Se Suite D
Lacey
, Washington 98503-5952
(425) 357-9382
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Dr. Christopher Lee Dickerson
- 1519 132nd St Se Suite A
- Everett, WA
- Zip : 98208-7203
- Fax : (425) 357-9382
- Phone : (425) 357-9380
Second Address
- Dr. Christopher Lee Dickerson
- 5210 Corporate Center Ct Se Suite D
- Lacey, WA
- Zip : 98503-5952
- Fax : (360) 455-1655
- Phone : (360) 455-8155
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist |
National Provider Identifier
| NPI | 1003164831 |
|---|---|
| Provider Name | Dr. Christopher Lee Dickerson |
| First Address | Everett, WA 98208-7203 |
| Second Address | Lacey, WA 98503-5952 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2012 |
| Last Update Date | 03/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0301544 | L & I (01) | WA |
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.