Individual
MRS. ROSE MARY DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
303 W HURSTBOURNE PARKWAY SUITE 200, LOUISVILLE, KY 40222
(502) 412-5847
Mailing address
6501 LURE LANE, LOUISVILLE, KY 40229
(502) 533-9855
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
KY-A3525
KY
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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