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NPI Code Detail

MEDICARE: JULIE MARIE DIXON I

MEDICARE:   JULIE MARIE DIXON I
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 Therapist11445MA

General Provider Information

NPI Number : 1750968459
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE MARIE DIXON I
Provider Business Mailing Address
First Line : 2 SEAPORT DR
Second Line :
City : QUINCY
State : MA
Zip : 02171-1599
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2 SEAPORT DR
Second Line :
City : QUINCY
State : MA
Zip : 02171-1599
Country : US
Telephone Number : 617-769-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2021
Last Update Date : 03/29/2021

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Directions to “ JULIE MARIE DIXON I ” Practice Location

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