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Individual

HEATHER MICHELLE DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3851 COMMERCIAL CENTER DR, LADSON, SC 29456-4146
(843) 314-5434
(888) 510-9156
Mailing address
3851 COMMERCIAL CENTER DR, LADSON, SC 29456-4146
(843) 314-5434

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
4878
TN
225X00000X
Occupational Therapist
Primary
5205
SC
225X00000X
Occupational Therapist
5832
GA

Other

Enumeration date
11/07/2013
Last updated
02/20/2020
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