Provider Demographics
NPI:1437758042
Name:DAWN THERAPY INC
Entity Type:Organization
Organization Name:DAWN THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDULLAHI
Authorized Official - Middle Name:
Authorized Official - Last Name:SIYAD
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:612-532-6627
Mailing Address - Street 1:2817 ANTHONY LN S STE 106
Mailing Address - Street 2:
Mailing Address - City:ST ANTHONY
Mailing Address - State:MN
Mailing Address - Zip Code:55418-2489
Mailing Address - Country:US
Mailing Address - Phone:612-532-6627
Mailing Address - Fax:612-886-2618
Practice Address - Street 1:2817 ANTHONY LN S STE 106
Practice Address - Street 2:
Practice Address - City:ST ANTHONY
Practice Address - State:MN
Practice Address - Zip Code:55418-2489
Practice Address - Country:US
Practice Address - Phone:612-532-6627
Practice Address - Fax:612-886-2618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency