Individual
MRS. BRANDY MELEIA DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1717 INDUSTRIAL DR, FORDYCE, AR 71742-7104
(870) 352-7975
(870) 352-8806
Mailing address
RR 1 BOX 49, HAMPTON, AR 71744-9712
(870) 574-1353
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A505
AR
Other
Enumeration date
10/13/2008
Last updated
04/19/2010
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