Individual
MRS. KIMBERLY JEAN DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
101 N POST RD STE A, MIDWEST CITY, OK 73130-3605
(405) 397-3550
Mailing address
5612 NW 66TH ST, WARR ACRES, OK 73132-7751
(405) 706-2627
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2410
OK
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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