Lanan Rae Dixon P.T.

NPI 1104038165 - Physical Therapist - 225100000X

NPI Details
NPI 1104038165
Gender Female
Enumeration Date 05/04/2007
Last Updated 06/20/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1400 WASHINGTON ST
SUITE 3
TWO RIVERS WI, 54241-3043, US
Phone (920) 553-8993
Fax (920) 553-8990
Business Location
1400 WASHINGTON ST
SUITE 3
TWO RIVERS WI, 54241-3043, US
Phone (920) 553-8993
Fax (920) 553-8990
Toxanomy
Taxonomy Code 225100000X
License State Wisconsin
License Number 4947-024
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According to our database, Mrs. Lanan Rae Dixon P.T. NPI is 1104038165, taxonomy code is 225100000X and license number is 4947-024, license state is located at Wisconsin. Lanan Rae Dixon P.T. physically located at 1400 Washington St, Two Rivers WI, 54241-3043. NPI Number Lanan Rae Dixon P.T. has the Individual type.

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1104038165 NPI number is provided on an as is basis without warranty of any kind. 1104038165 is maintained by the National Plan & Provider Enumeration System. The contents of Lanan Rae Dixon P.T. are for informational purposes only.