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Individual

ANGELICA DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
400 NORTH ST STE 2, SACO, ME 04072-1867
(207) 282-7121
Mailing address
55 PITT ST APT 3, PORTLAND, ME 04103-4831
(505) 715-0759
(505) 715-0759

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
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