Provider Demographics
NPI:1467876441
Name:SPEECE, DAWN E (PT)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:E
Last Name:SPEECE
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 1:628 LAURELWOOD DR SE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-2419
Mailing Address - Country:US
Mailing Address - Phone:330-507-7424
Mailing Address - Fax:
Practice Address - Street 1:628 LAURELWOOD DR SE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-2419
Practice Address - Country:US
Practice Address - Phone:330-507-7424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-11
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1776225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist