Provider Demographics
NPI:1912026659
Name:DIXON, SHEREE BURGESS (OTR)
Entity Type:Individual
Prefix:
First Name:SHEREE
Middle Name:BURGESS
Last Name:DIXON
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:SHEREE
Other - Last Name:BURGESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:113 PINEHURST LN
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NC
Mailing Address - Zip Code:28658-3616
Mailing Address - Country:US
Mailing Address - Phone:828-695-1949
Mailing Address - Fax:
Practice Address - Street 1:2372 EAGLE DR NE
Practice Address - Street 2:
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613-9497
Practice Address - Country:US
Practice Address - Phone:828-459-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5070225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics