Individual
MR. ZACHARY LUKE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
1001 HOSPITAL RD, STARKVILLE, MS 39759-2125
(662) 323-6360
Mailing address
121 CARLY LN, STARKVILLE, MS 39759-8788
(662) 213-9264
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4195
MS
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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