Provider Demographics
NPI:1912737149
Name:DIXON, HANNAH
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:DIXON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5979 WINDSOR FALLS LOOP
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38002-5391
Mailing Address - Country:US
Mailing Address - Phone:901-359-6199
Mailing Address - Fax:
Practice Address - Street 1:435 OLD BROWNSVILLE RD
Practice Address - Street 2:
Practice Address - City:GALLAWAY
Practice Address - State:TN
Practice Address - Zip Code:38036
Practice Address - Country:US
Practice Address - Phone:901-867-8575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5156225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist