Individual
ZION DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
979 E DEERHAVEN AVE, DALTON GARDENS, ID 83815-9537
(208) 819-4327
Mailing address
979 E DEERHAVEN AVE, DALTON GARDENS, ID 83815-9537
(208) 819-4327
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2612
ID
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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