Individual
DIXIE D. RIEPL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 SAGECREST CIR APT 103, W MELBOURNE, FL 32904-8664
(281) 740-3080
Mailing address
160 SAGECREST CIR APT 103, W MELBOURNE, FL 32904-8664
(281) 740-3080
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
08/14/2020
Last updated
08/17/2020
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