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Individual

DR. DENITA NIXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1551 HUNTINGTON DR, CALUMET CITY, IL 60409-5440
(708) 862-5500
Mailing address
4125 W 97TH PL, OAK LAWN, IL 60453-3481

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070013722
IL

Other

Enumeration date
09/21/2012
Last updated
09/21/2012
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