Individual
CHRISHAUN D. DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
19470 LESURE, DETROIT, MI 48235
(469) 651-9911
Mailing address
19470 LESURE, DETROIT, MI 48235
(248) 470-6331
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
008071
NY
224Z00000X
Occupational Therapy Assistant
Primary
213605
TX
Other
Enumeration date
03/20/2013
Last updated
05/17/2024
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