Individual
MS. KIMBERLY W DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
404 BLUE ELDERBERRY RUN, MONCKS CORNER, SC 29461-2908
(843) 425-2805
Mailing address
404 BLUE ELDERBERRY RUN, MONCKS CORNER, SC 29461-2908
(843) 425-2805
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
638
SC
Other
Enumeration date
07/24/2012
Last updated
05/25/2022
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