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Crystal D Dixon-largen, OT
Specialist in Ronceverte, West Virginia
NPI 1215013222

Crystal D Dixon-largen is a Specialist based in Ronceverte, WV. Crystal D Dixon-largen practices in Ronceverte, WV and has the professional credentials of OT. The NPI Number for Crystal D Dixon-largen is 1215013222 and holds a License No. WV897 (West Virginia).

The current practice location address for Crystal D Dixon-largen is 111 Davis Stuart Road, Ronceverte, WV and can be reached out via phone at 304-647-3987 and via fax at 304-647-3990.

Location: 111 Davis Stuart Road, Ronceverte, WV, 24970
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215013222
Provider Name
Crystal D Dixon-largen
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
111 Davis Stuart Road, Ronceverte, WV, 24970
Phone Number
304-647-3987
Fax Number
304-647-3990
Provider Enumeration Date
10/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7501097000 05 WV
institution
Provider Business Practice Location Address Details
Address
111 Davis Stuart Road
City
Ronceverte
State
West Virginia
Zip
24970
Phone Number
304-647-3987
Fax Number
304-647-3990
person
Provider Business Mailing Address Details
Address
111 Davis Stuart Road
City
Ronceverte
State
West Virginia
Zip
24970
Phone Number
304-647-3987
Fax Number
304-647-3990
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
WV897 (West Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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