Healthcare Provider Details

I. General information

NPI: 1780042838
Provider Name (Legal Business Name): ERIKA DICHMANN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2016
Last Update Date: 08/18/2022
Certification Date: 08/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 FISH CREEK THOROUGHFARE
MONTGOMERY TX
77316-6965
US

IV. Provider business mailing address

126 MISTFLOWER PATH
MONTGOMERY TX
77316-1687
US

V. Phone/Fax

Practice location:
  • Phone: 936-272-0790
  • Fax: 936-272-0791
Mailing address:
  • Phone: 214-707-5497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1271027
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: