Organization
WHD CORPORATION
Active
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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