Provider Demographics
NPI:1114436649
Name:DIXON, MEREDITH JOY (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:JOY
Last Name:DIXON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:MEREDITH
Other - Middle Name:JOY
Other - Last Name:HATCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:2223 CHILLICOTHE ST
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37921-7006
Mailing Address - Country:US
Mailing Address - Phone:1931-308-4446
Mailing Address - Fax:
Practice Address - Street 1:32 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37398-2400
Practice Address - Country:US
Practice Address - Phone:931-308-4446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-27
Last Update Date:2017-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4740225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist