Individual
MS. CAROL LYNN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1952 E 7000 S, SLC, UT 84121
(801) 942-3311
(801) 942-5595
Mailing address
PO BOX 712252, SLC, UT 84171
(801) 943-2396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1155622401
UT
225100000X
Physical Therapist
PT27201
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N0615
—
UT
Enumeration date
11/15/2006
Last updated
07/08/2007
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