Individual
JACQUELINE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA11743
Contact information
Practice address
7379 NW 34TH ST, LAUDERHILL, FL 33319-4962
(954) 861-8611
Mailing address
7379 NW 34TH ST, LAUDERHILL, FL 33319-4962
(954) 861-8611
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11743
FL
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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