Individual
MRS. WAVERLY ANN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
223 N MAIN ST, BROOKFIELD, MO 64628-1628
(660) 258-7892
(660) 258-9828
Mailing address
223 N MAIN ST, BROOKFIELD, MO 64628-1628
(660) 258-7892
(660) 258-9829
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
110262
MO
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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