Provider Demographics
NPI:1003934217
Name:BIEBER, DAWN CLAYTON (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:CLAYTON
Last Name:BIEBER
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:MISS
Other - First Name:DAWN
Other - Middle Name:LOUISE
Other - Last Name:CLAYTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTRL
Mailing Address - Street 1:220 SOMERSET CIR
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-3496
Mailing Address - Country:US
Mailing Address - Phone:215-996-9994
Mailing Address - Fax:215-996-9994
Practice Address - Street 1:220 SOMERSET CIR
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3496
Practice Address - Country:US
Practice Address - Phone:215-996-9994
Practice Address - Fax:215-996-9994
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC003079L225X00000X
NJ46TR00433400225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ46TR00433400OtherOT LICENSE NUMBER
PAOC003079OtherOT LICENSE NUMBER