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NPI Code Detail

MEDICARE: KATHERINE J DIXON P.T.

MEDICARE: KATHERINE J DIXON P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1072676TX

General Provider Information

NPI Number : 1184762023
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE J DIXON P.T.
Provider Business Mailing Address
First Line : 2115 HEATHER GREEN DR
Second Line :
City : HOUSTON
State : TX
Zip : 77062-4784
Country : US
Telephone Number : 832-746-6383
Fax Number :
Provider Business Practice Location Address
First Line : 3440 RICHMOND AVE
Second Line :
City : HOUSTON
State : TX
Zip : 77046-3402
Country : US
Telephone Number : 832-746-6383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 07/08/2007

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Directions to “ KATHERINE J DIXON P.T.” Practice Location

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