Provider Demographics
NPI:1710209135
Name:DAWSON, ZACKARY (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ZACKARY
Middle Name:
Last Name:DAWSON
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2375 GREENTREE RD
Mailing Address - Street 2:2ND FLOOR REAR
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-4203
Mailing Address - Country:US
Mailing Address - Phone:412-249-1663
Mailing Address - Fax:412-249-1665
Practice Address - Street 1:2375 GREENTREE RD
Practice Address - Street 2:2ND FLOOR REAR
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-4203
Practice Address - Country:US
Practice Address - Phone:412-249-1663
Practice Address - Fax:412-249-1665
Is Sole Proprietor?:No
Enumeration Date:2010-02-26
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT020377225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist