Individual
LEIGH ANN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
401 W MARTINTOWN RD, NORTH AUGUSTA, SC 29841-3194
(803) 441-0025
Mailing address
PO BOX 5545, AUGUSTA, GA 30916-5545
(803) 441-0025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2441
SC
225100000X
Physical Therapist
PT004439
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2441
PHYSICAL THERAPY LICENSE
SC
01
—
PT004439
PHYSICAL THERAPY LICENSE
GA
Enumeration date
10/17/2006
Last updated
07/08/2007
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