Provider Demographics
NPI:1710088935
Name:SCHNEIDER, DAWN M (PT, DPT)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:M
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:M
Other - Last Name:HALSTEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:518 WHITE RD
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-1541
Mailing Address - Country:US
Mailing Address - Phone:419-307-0946
Mailing Address - Fax:
Practice Address - Street 1:518 WHITE RD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-1541
Practice Address - Country:US
Practice Address - Phone:419-307-0946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH010894225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist