Provider Demographics
NPI:1528390374
Name:PEARSON, DORIENNE ANNA (ATC, LAT)
Entity Type:Individual
Prefix:MS
First Name:DORIENNE
Middle Name:ANNA
Last Name:PEARSON
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Gender:F
Credentials:ATC, LAT
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Mailing Address - Street 1:342 FIFTH AVE
Mailing Address - Street 2:SYMMETRY PHYSICAL THERAPY AND WELLNESS, LLC
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-1204
Mailing Address - Country:US
Mailing Address - Phone:914-738-1748
Mailing Address - Fax:914-738-1749
Practice Address - Street 1:342 FIFTH AVE
Practice Address - Street 2:SYMMETRY PHYSICAL THERAPY AND WELLNESS, LLC
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-1204
Practice Address - Country:US
Practice Address - Phone:914-738-1748
Practice Address - Fax:914-738-1749
Is Sole Proprietor?:No
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
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Provider Licenses
StateLicense IDTaxonomies
NY0005052255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer