Provider Demographics
NPI:1275743478
Name:STEPP, DAWN RENE (MS,OTR)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:RENE
Last Name:STEPP
Suffix:
Gender:F
Credentials:MS,OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 N LEBANON ST
Mailing Address - Street 2:SUITE 115
Mailing Address - City:LEBANON
Mailing Address - State:IN
Mailing Address - Zip Code:46052-8612
Mailing Address - Country:US
Mailing Address - Phone:756-483-7320
Mailing Address - Fax:765-483-7325
Practice Address - Street 1:2505 N LEBANON ST
Practice Address - Street 2:SUITE 115
Practice Address - City:LEBANON
Practice Address - State:IN
Practice Address - Zip Code:46052-8612
Practice Address - Country:US
Practice Address - Phone:756-483-7320
Practice Address - Fax:765-483-7325
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31003423A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist