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Individual

ANGIE D DIXON-GARRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7522
(757) 314-7524
Mailing address
1030 JEFFERSON AVENUE, MEMPHIS, TN 38104

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0000006256
TN
225X00000X
Occupational Therapist
Primary
0119002964
VA

Other

Enumeration date
03/29/2011
Last updated
07/06/2023
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