Individual
MR. JONATHAN ELLIOT DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
1890 E 107TH ST, CLEVELAND, OH 44106-2235
(216) 791-7057
Mailing address
1371 CRANEING RD, WICKLIFFE, OH 44092-2519
(440) 812-1743
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 06649
OH
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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