Individual
ASHANTI DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
624 N PARKSIDE AVE, CHICAGO, IL 60644-1547
(708) 539-0998
Mailing address
624 N PARKSIDE AVE, CHICAGO, IL 60644-1547
(708) 539-0998
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008702
IL
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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