IndividualActive
Kimberly Dixon, OTR/L
NPI 1720333040 · Physical Rehabilitation Occupational Therapist · Moncks Corner, SC
Provider details
- NPI number
- 1720333040
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 638 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
404 Blue Elderberry Run
Moncks Corner, SC 29461-2908
Phone: (843) 425-2805
Approximate (ZIP-level) locationGet directions
Mailing address
404 Blue Elderberry Run
Moncks Corner, SC 29461-2908
Additional practice locations (1)
- 600 Curing CtMoncks Corner, SC 29461-9419Phone: (843) 761-2791
Registry dates
- Enumerated
- 2012-07-24
- Last updated
- 2022-05-25
- Certified
- 2022-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.