Individual
JOHN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
375 WAMPANOAG TRL STE 403, RIVERSIDE, RI 02915-2237
(401) 726-7100
(401) 270-8770
Mailing address
4 RICHMOND SQ STE 200, PROVIDENCE, RI 02906-5117
(401) 433-4172
(401) 433-0612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
25094
MA
225100000X
Physical Therapist
Primary
PT03346
RI
Other
Enumeration date
08/11/2020
Last updated
12/01/2020
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