Provider Demographics
NPI:1124179031
Name:DAWSON, LAURA NEWMAN (OTR)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:NEWMAN
Last Name:DAWSON
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1096 HALL RD
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38019-8303
Mailing Address - Country:US
Mailing Address - Phone:901-476-0927
Mailing Address - Fax:901-476-0927
Practice Address - Street 1:1992 HIGHWAY 51 S
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:TN
Practice Address - Zip Code:38019-3623
Practice Address - Country:US
Practice Address - Phone:901-476-1820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2899225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist