Provider Demographics
NPI:1821785437
Name:DICKINSON, KERI (PT)
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:
Last Name:DICKINSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 JOSEPH CIR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-2670
Mailing Address - Country:US
Mailing Address - Phone:774-277-0602
Mailing Address - Fax:
Practice Address - Street 1:STURDY ORTHOPEDIC & SPORTS MEDICINE ASSOC-PT
Practice Address - Street 2:100 O'NEIL BLVD
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703
Practice Address - Country:US
Practice Address - Phone:508-233-7385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11495225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist