Provider Demographics
NPI:1689824567
Name:LEONE, DAWN MARIE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:MARIE
Last Name:LEONE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:CARR-PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:118 PINE RIDGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NY
Mailing Address - Zip Code:14513
Mailing Address - Country:US
Mailing Address - Phone:315-331-0445
Mailing Address - Fax:
Practice Address - Street 1:6884 MAPLE AVE.
Practice Address - Street 2:BLOSSOM VIEW NURSING & REHABILITATION CENTER
Practice Address - City:SODUS
Practice Address - State:NY
Practice Address - Zip Code:14551
Practice Address - Country:US
Practice Address - Phone:315-483-9118
Practice Address - Fax:315-483-9432
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008999-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist