Bergdorf Dixon

NPI #1477935666 in Walterboro, South Carolina

Provider Information

NPI Number: 1477935666
Entity Type: Individual
Name: Bergdorf Dixon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jun 24, 2015
Last Updated: Jun 24, 2015

Practice Location

Address: 2060 BELLS HWY
City: Walterboro
State: South Carolina
ZIP Code: 29488-6815
Phone: (843) 538-2055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary
Massage Therapist	225700000X

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