| 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 |