Individual
MS. SYLVIA MIRANDA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
251 MEDICAL PLAZA LN, SUITE D, WHITESBURG, KY 41858-9323
(606) 632-1188
(606) 632-0075
Mailing address
251 MEDICAL PLAZA LANE, SUITE D, WHITESBURG, KY 41858
(606) 632-1188
(606) 632-0075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004691
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700075314
NPI GROUP
—
Enumeration date
05/03/2007
Last updated
10/07/2010
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