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Individual

MS. CARRIE LYNN HIXSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
625 PINEY FOREST RD STE 407, DANVILLE, VA 24540-2870
(434) 779-7732
Mailing address
1155 CALVARY RD, ALTON, VA 24520-3485
(434) 446-5852

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001678
VA
224Z00000X
Occupational Therapy Assistant
PO008394
PA

Other

Enumeration date
04/20/2016
Last updated
03/17/2018
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