Doctor Name: | SHIRA ANN DIXON |
NPI Number: | 1750522553 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT, ATC |
License Number: | PT009555 |
Business Practice Address: | 1207 Plaza Ave Eastman, GA - 310236763 |
Business Phone Number: | 4783742003 |
Business Fax Number: | 4783747030 |
Mailing Address: | 108 Commerce Street, Suite 1 HAWKINSVILLE |
State: | GA |
Postal Code: | 31036 |
Phone Number: | 4787834444 |
Fax Number: | 4787834466 |
NPI Enumeration Date: | 03/09/2009 |
NPI Last Update Date: | 03/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT009555 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |