Individual
ELIZABETH A DIXON
Active
Individual
ELIZABETH A DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC006418L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021985130001
—
PA
01
—
OC006418L
OCCUPATIONAL THERAPY LICENSE
PA
Enumeration date
06/29/2006
Last updated
09/21/2009
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