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1154591253
RUTHELLEN GRACE DIXON
RIDGEWOOD, NJ
NPI
1154591253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 014960)
Enumeration Date
2008-03-04
Last Update Date
2014-11-19
Business Address
-- RUTHELLEN GRACE DIXON OTR
537 BANTA STREET PROGRESSIVE REHAB AND HOME CRAE, PT&OT,PLLC
RIDGEWOOD, NJ 07450
Phone number: 201-803-7008
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Mailing Address
-- RUTHELLEN GRACE DIXON OTR
30 W 96TH ST APT 3 F
NEW YORK, NY 10025-6555
Phone number: 917-822-4694
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