Individual
MRS. NANCY JEAN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6306 N 7TH ST, PHOENIX, AZ 85014-1549
(602) 279-5701
Mailing address
6306 N 7TH ST, PHOENIX, AZ 85014-1549
(602) 279-5701
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2672
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
734641
AHCCCS ID
AZ
Enumeration date
03/07/2007
Last updated
07/08/2007
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