Provider Demographics
NPI:1215016456
Name:COX, DAWN MARIE (PT)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:MARIE
Last Name:COX
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:DAWN
Other - Middle Name:MARIE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:617 N PRINCE ST
Mailing Address - Street 2:A
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-4769
Mailing Address - Country:US
Mailing Address - Phone:717-390-4822
Mailing Address - Fax:717-390-4825
Practice Address - Street 1:617 N PRINCE ST
Practice Address - Street 2:A
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-4769
Practice Address - Country:US
Practice Address - Phone:717-390-4822
Practice Address - Fax:717-390-4825
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT017185225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012591690002Medicaid
PA1012591690002Medicaid