Provider Demographics
NPI:1376514323
Name:CALDWELL, DAWN L (OTR/L CHT)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:L
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:OTR/L CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 FOUNTAIN ST
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-4869
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6635 DUBLIN BLVD
Practice Address - Street 2:STE E
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-3000
Practice Address - Country:US
Practice Address - Phone:925-803-0530
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5079225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand