NPI | 1881645604 |
---|---|
Former Name | STACY ELIZABETH DIXON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OK OT405) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: OR 1031100248) |
Enumeration Date | 2006-05-15 |
Last Update Date | 2021-10-30 |