Individual
JUSTIN HIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
205 NW 132ND ST, OKLAHOMA CITY, OK 73114-2305
(405) 757-3380
Mailing address
1332 SIMS AVE, EDMOND, OK 73013-6352
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
5311
OK
225100000X
Physical Therapist
Primary
5311
OK
Other
Enumeration date
12/07/2017
Last updated
12/05/2022
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