Individual
ANNIKA JANELLE DIXON ROOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(580) 334-8515
(508) 334-6490
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8555
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5853
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110119227A
—
MA
Enumeration date
11/30/2015
Last updated
09/01/2022
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