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: |