Individual
AMANDA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3878 MOUNT PLEASANT ST NW APT E, NORTH CANTON, OH 44720-4778
(330) 714-8937
Mailing address
3878 MOUNT PLEASANT ST NW APT E, NORTH CANTON, OH 44720-4778
(330) 714-8937
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001832
WV
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
12/02/2019
Last updated
07/06/2022
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