Provider Demographics
NPI:1003072315
Name:TOBIN-HOLT, DAWN CHRISTINE (PT)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:CHRISTINE
Last Name:TOBIN-HOLT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 HUNT AVE
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-1881
Mailing Address - Country:US
Mailing Address - Phone:845-735-1227
Mailing Address - Fax:
Practice Address - Street 1:217 ROUTE 303
Practice Address - Street 2:
Practice Address - City:VALLEY COTTAGE
Practice Address - State:NY
Practice Address - Zip Code:10989-2533
Practice Address - Country:US
Practice Address - Phone:845-268-6010
Practice Address - Fax:845-268-6011
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012837-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics