Provider Demographics
NPI:1649359779
Name:DIXON, ROSANNE JOYCE (PT)
Entity type:Individual
Prefix:MS
First Name:ROSANNE
Middle Name:JOYCE
Last Name:DIXON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:60 BIRKDALE LOOP
Mailing Address - Street 2:
Mailing Address - City:PAWLEYS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29585-6700
Mailing Address - Country:US
Mailing Address - Phone:843-237-7341
Mailing Address - Fax:843-237-7341
Practice Address - Street 1:4237 RIVER HILLS DRIVE
Practice Address - Street 2:SUITE #120
Practice Address - City:LITTLE RIVER
Practice Address - State:SC
Practice Address - Zip Code:29566
Practice Address - Country:US
Practice Address - Phone:843-249-5616
Practice Address - Fax:843-249-1843
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC49522251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic