Individual
CHEYENNE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
830 ATLANTIC AVE, LONG BEACH, CA 90813-4513
(562) 258-0149
Mailing address
41225 SE 125TH ST, NORTH BEND, WA 98045-9418
(425) 442-6020
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
61118578
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2018
Last updated
09/30/2021
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