National Provider Identifier

Stephanie K Dickson, D.P.T

Stephanie K Dickson, D.P.T is listed in the NPPES registry with a primary specialty of Physical Therapist in Victor, NY and a listed phone number of (585) 924-7207.

NPI 1093967432Victor, NYPhysical Therapist

Profile Overview

NPI
1093967432
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
October 16, 2008
Last Updated
March 04, 2020

Practice Location

  • 590 Fishers Station Dr
  • Suite 130
  • Victor, NY 14564-9744

Phone: (585) 924-7207

Specialties

  • Physical Therapist (225100000X)
  • Specialist (174400000X)
Full Record
NPI
1093967432
Entity Type
Individual
Last Name
Dickson
First Name
Stephanie
Middle Name
K
Credential
D.P.T
Mailing Street Address
590 Fishers Station Dr
Mailing Address Line 2
Suite 130
Mailing City
Victor
Mailing State
NY
Mailing ZIP Code
14564-9744
Mailing Country
US
Mailing Phone
(585) 924-7207
Mailing Fax
(585) 924-7049
Practice Street Address
590 Fishers Station Dr
Practice Address Line 2
Suite 130
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-9744
Practice Country
US
Practice Phone
(585) 924-7207
Practice Fax
(585) 924-7049
Enumeration Date
October 16, 2008
Last Updated
March 04, 2020
Sex
Female
Sole Proprietor
No
Certification Date
March 04, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X), Specialist (174400000X)
Other Identifiers
30-0213081 (NY, Tax Id)