Provider Demographics
NPI:1528537370
Name:OWSLEY, DOROTHY M
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:M
Last Name:OWSLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 BROOKLYN DR NW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24017-7011
Mailing Address - Country:US
Mailing Address - Phone:540-676-3318
Mailing Address - Fax:540-676-3318
Practice Address - Street 1:1729 PATTERSON AVE SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-3105
Practice Address - Country:US
Practice Address - Phone:540-676-3318
Practice Address - Fax:540-400-6771
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-21
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)