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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BENJAMIN LANE DICKERSON, PT, DPT, ATC

Active Sole Proprietor

BENJAMIN LANE DICKERSON, PT, DPT, ATC is a Environmental Modification (OT) healthcare provider located in HILLIARD, Ohio. NPI 1477016327 is currently active in the NPPES registry. Verify at CMS.

Environmental Modification (OT) · HILLIARD, OH

Registration Details

NPI Number
1477016327
Provider Type
Individual
Gender
Male
NPI Issued
Apr 8, 2019 (7.3162038119462 yrs)
Last Updated
Aug 7, 2019
Licenses
8403 (SC)
BOC154302 (SC)
PT.015069 (OH)
Sole Proprietor
Yes

Practice Information

Address
3207 HILLIARD ROME RD
HILLIARD, OH, 43026
Browse OH providers · Browse ZIP 43026
Phone
6148500680
Primary Specialty
Environmental Modification (OT)
2251S0007X
Additional Specialty
Athletic Trainer

Other Environmental Modification (OT) Providers in HILLIARD, OH

Name Credential NPI
DR. KARI ELLYN BROWN BUDDE PT, DPT, SCS 1699117580
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.