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Individual

MANDI ROSE DIXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
48 TARN TER, FROSTBURG, MD 21532-1242
(301) 689-1391
Mailing address
57 JACKSON ST, LONACONING, MD 21539-1307
(814) 585-6193

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02466
MD
224Z00000X
Occupational Therapy Assistant

Other

Enumeration date
01/12/2024
Last updated
01/12/2024
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