Organization
WHD CORPORATION
Active
Other names
The Jungle Gym Pediatric Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENA LYNN DIXON M.S., P.T. (OWNER/PHYSICAL THERAPIST)
(541) 887-7362
Entity
Organization
Contact information
Practice address
306 S 6TH ST, KLAMATH FALLS, OR 97601-6114
(541) 887-7362
(541) 273-2486
Mailing address
PO BOX 1359, KLAMATH FALLS, OR 97601-0075
(541) 882-1540
(541) 882-2583
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2063
OR
225XP0200X
Pediatric Occupational Therapist
242685
OR
235Z00000X
Speech-Language Pathologist
12514
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182019
—
OR
05
—
4720537
—
CA
Enumeration date
07/25/2007
Last updated
06/04/2015
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