Liane Dixon, MS, ATC, LAT
Specialist/Technologist, Other in Palm Coast, FL. Individual provider (NPI-1).
NPI number1154875425
StatusActive
Last updated in NPPESAug 4, 2016
Details
- NPI
- 1154875425
- Entity type
- Individual (NPI-1)
- Name
- Liane Dixon
- Credential
- MS, ATC, LAT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2016
- Last updated
- Aug 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246Z00000X | Specialist/Technologist, Other | AL3111 | FL | Yes |
Other names
- Liane Tessa English (Former Name)
Practice location
1 Nantucket DrPalm Coast, FL 32137-2530
Phone 813-505-9164
Mailing address
1 Nantucket DrPalm Coast, FL 32137-2530
Phone 813-505-9164
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