Provider Demographics
NPI:1780042838
Name:DICHMANN, ERIKA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:DICHMANN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 MISTFLOWER PATH
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316-1687
Mailing Address - Country:US
Mailing Address - Phone:214-707-5497
Mailing Address - Fax:
Practice Address - Street 1:750 FISH CREEK THOROUGHFARE
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77316-6965
Practice Address - Country:US
Practice Address - Phone:936-272-0790
Practice Address - Fax:936-272-0791
Is Sole Proprietor?:No
Enumeration Date:2016-02-03
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1271027225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist