Most Relevant Information
Provider Data
NPI Number: | 1003537861 |
Provider Name: | DERRECK DIXON PT, DPT |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | 2305215314 |
Most Important Dates
Enumeration Date: | 09/08/2022 |
Last Updated: | 09/08/2022 |
Provider Practice Location
4701 SPOTSYLVANIA PKWY STE 106
FREDERICKSBURG
VA
224079435
Practice Location Phone/Fax
Phone: | 5407100100 |
Fax: |
Provider Mailing Location
5 BRUCE ST
STAFFORD
VA
225546581
Provider Mailing Phone/Fax
Phone: | 7578035630 |
Fax: |