Individual
DERRICK DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7625 PARAGON RD, SUITE C, DAYTON, OH 45459-4067
(877) 480-6398
Mailing address
1206 TAYLOR AVE N APT 103, SEATTLE, WA 98109-3340
(206) 999-5324
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23478
CA
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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