Individual
MRS. CRYSTAL RENEE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
215 RICHARDSON WAY, MAYNARDVILLE, TN 37807-3803
(606) 205-2678
(606) 589-2522
Mailing address
1386 LITTLE VALLEY RD, MAYNARDVILLE, TN 37807-3300
(606) 205-2678
(606) 589-2522
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4781
TN
225X00000X
Occupational Therapist
KY-R3440
KY
Other
Enumeration date
07/22/2008
Last updated
08/07/2013
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