Individual
MRS. CAROLYN SUE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 MANCHESTER ROAD, FAIRVIEW, PA 16415-1703
(814) 838-4822
(814) 833-8356
Mailing address
1100 SHAWNEE ROAD, LIMA, OH 45805
(419) 999-2030
(419) 991-0909
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI000066
PA
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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