Provider Demographics
NPI:1093468167
Name:DAWKINS, BRIEANA L (OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:BRIEANA
Middle Name:L
Last Name:DAWKINS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2212 SHANNONDOAH DR
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-5828
Mailing Address - Country:US
Mailing Address - Phone:334-714-6660
Mailing Address - Fax:
Practice Address - Street 1:343 JAMES ST
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:AL
Practice Address - Zip Code:36360-2014
Practice Address - Country:US
Practice Address - Phone:334-740-1756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-30
Last Update Date:2022-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5668225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist