Provider Demographics
NPI:1609066323
Name:DAWSON-ELWARD, SHEILA ARLENE (L/PTA)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:ARLENE
Last Name:DAWSON-ELWARD
Suffix:
Gender:F
Credentials:L/PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 COLONIAL DR
Mailing Address - Street 2:UNIT# 8
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-1602
Mailing Address - Country:US
Mailing Address - Phone:978-356-5572
Mailing Address - Fax:
Practice Address - Street 1:16 CITY HALL SQ
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01901-1003
Practice Address - Country:US
Practice Address - Phone:791-598-2454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3482225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant