Provider Demographics
NPI:1558860916
Name:DICKINSON, FRANCES ELIZABETH (OTL)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:ELIZABETH
Last Name:DICKINSON
Suffix:
Gender:F
Credentials:OTL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6529 SCHLEY LANE
Mailing Address - Street 2:
Mailing Address - City:SCHLEY
Mailing Address - State:VA
Mailing Address - Zip Code:23154
Mailing Address - Country:US
Mailing Address - Phone:804-694-4322
Mailing Address - Fax:
Practice Address - Street 1:6099 T C WALKER RD
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-4403
Practice Address - Country:US
Practice Address - Phone:803-693-7880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119001504225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics