Individual
ANGELICA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2790
NM
225100000X
Physical Therapist
Primary
PT4389
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2790
REG & LICENSING
NM
01
—
PT4389
PT LICENSE
ME
Enumeration date
08/10/2005
Last updated
04/05/2026
Update your record
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