Individual
RUTHELLEN GRACE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
537 BANTA STREET, PROGRESSIVE REHAB AND HOME CRAE, PT&OT,PLLC, RIDGEWOOD, NJ 07450
(201) 803-7008
Mailing address
30 W 96TH ST, APT 3 F, NEW YORK, NY 10025-6555
(917) 822-4694
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014960
NY
Other
Enumeration date
03/04/2008
Last updated
11/19/2014
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