Individual
MR. COLIN DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
601 E MAIN ST, COLLEGEVILLE, PA 19426-2509
(610) 409-3477
(610) 409-3776
Mailing address
601 E MAIN ST, COLLEGEVILLE, PA 19426-2509
(610) 409-3477
(610) 409-3776
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004566
PA
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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