Provider Demographics
NPI:1275856205
Name:DAWSON, DAWNA (PT)
Entity Type:Individual
Prefix:MISS
First Name:DAWNA
Middle Name:
Last Name:DAWSON
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 1:2610 WEMBLEYCROSS WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7963
Mailing Address - Country:US
Mailing Address - Phone:407-697-1542
Mailing Address - Fax:
Practice Address - Street 1:10 ABBEY LN
Practice Address - Street 2:
Practice Address - City:PARK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60466-2639
Practice Address - Country:US
Practice Address - Phone:708-748-5843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-04
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-009377225100000X
FLPT25269225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist