Provider Demographics
NPI:1235736984
Name:SEESTEDT, DAWN MARIA (PT)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:MARIA
Last Name:SEESTEDT
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 1:2501 POPLAR DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207-6032
Mailing Address - Country:US
Mailing Address - Phone:443-635-0234
Mailing Address - Fax:
Practice Address - Street 1:2501 POPLAR DR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21207-6032
Practice Address - Country:US
Practice Address - Phone:443-635-0234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16833225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist