Individual
KARISSA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
RR 3 BOX 1442, HASKELL, OK 74436-9014
(918) 260-9741
Mailing address
RR 3 BOX 1442, HASKELL, OK 74436-9014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2552
OK
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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