Provider Demographics
NPI:1871070334
Name:ROXIN-DIXON, URSULA ROSWITHA
Entity type:Individual
Prefix:MS
First Name:URSULA
Middle Name:ROSWITHA
Last Name:ROXIN-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 1:14 MILL ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1225
Mailing Address - Country:US
Mailing Address - Phone:508-520-3977
Mailing Address - Fax:
Practice Address - Street 1:14 MILL ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-1225
Practice Address - Country:US
Practice Address - Phone:508-520-3977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist