Provider Demographics
NPI:1689695157
Name:DIXON-WILLIAMS, TAMMY LORRAINE (KT)
Entity Type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:LORRAINE
Last Name:DIXON-WILLIAMS
Suffix:
Gender:F
Credentials:KT
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Mailing Address - Street 1:14 BROAD TER
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-2726
Mailing Address - Country:US
Mailing Address - Phone:973-748-4073
Mailing Address - Fax:973-395-7160
Practice Address - Street 1:385 TREMONT AVE
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1023
Practice Address - Country:US
Practice Address - Phone:973-676-1000
Practice Address - Fax:973-395-7160
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist